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Vai tro cua nhan vien cong tac xa tipi tai Benli vien Da Idioa Klianli Hoa Huynh Thj BIch Phung TrUdng Oai hpc Kti^nh Hoa So 01 Nguyen Chinh, Nha Trang, tt'nh Ktianh Hoa, Viet Nam Email' tiuynhthibichphiing@ukh,edu.vn TOM TAT: Thdng td sd 43 cua Bd Y te quy dinh nhiem vu va hinh thde to ehdc thue hien cdng tic xa hdi benh vien Tren cd sd cua nhdng van bin phip If nghe edng tic xa hgi da va dang dUde trien khai nhanh ehdng d cie benh vien Cdng tic xa hgi benh vien cd vai trd dac biet quan trgng vide tao dung mdi quan he hai hda giQa tinh thin va the chat cua ngUdI benh, gida benh nhin vdi ngudi than, giQa ngudi benh vdi nhdng ngddi chung quanh va vdi nhin vien y te Benh vien Da khoa tinh Khinh Hda tuyen dung nhin vien cdng tic xa hgi de thue hien vai trd tra giup benh nhan dUdng diu vdi benh tat, vUdt qua nhdng trd ngai kinh te va xa hdi nham nang eao ket qui dieu tri Mdt nghien cUu dinh tinh sd dung hai phUdng phap phdng van sau va thao luin nhdm md ta eu thi cdng viec cHa cic nhan vien xa hoi eung nhd nhdng thuan ldi va khd khan hg phii dUdng diu tai Benh vien Da khoa tinh Khanh Hda Tren cd sd kSt qua nghien eUu tic gia dUa nhdng khuyen nghi nham gdp phan nang cao chat lUdng hoat ddng cOa nhan vien edng tie xa hdi benh vien TLf KHOA; Cong t^c xa hoi; nhan vien cong lac xa hgi benh vien; vai tro •> Nhan bai 30/11/2019 -> Nhan ket qua phan bien va chinti siia 14/12/2019 -> Duyet dang 25/01/2020 Dat van de Cong tac xa hpi (CTXH) ITnh virc Y tk co vai tro dac biet quan trong viec cham soc siic Idioe ngudi dan, nang cao chat luong idiam chiJa benh tai cac co sa y te tren ca nuac noi chung va dia ban tinh Khanh Hoa noi rieng Noi den cac hoat dong CTXH iinh vuc Y te, Uiong the khong de cap vai tro quan cua nhan vien xa hoi (NVXH) Vai tro ciia nhan vien CTXH th^ hien khau: truac, va sau dieu tri, Cu the, truoc dieu tri, nhan vien CTXH phai sang loc ban dau ve benh nhan va gia dinh, ho trg cap ciiu, giai quyet khan; Luong gia tam li xa hoi tong the cho benh nhan; Giao due cho ngucri benh va gia dinh ve benh va cac lira chpn dieu tri khac nhau, cac hau qua va phan ling ciia dieu tri; Hau qua ciia viec tu choi dieu tri; Cac quyen loi ciia hp, cac chinh sach, dich vu cpng dong Ngoai ra, trg giiip nguai benh va nguai nha viec quySt dmh lien quan den d'\ku tri, bao hiem, quyen loi Trong di^u tn, nhan vien CTXH co vai tro can thiep true tiep cac truang hap khan cap, chuan doan cac van de siic khoe tam thSn co lien quan toi benh the chat hoac cac van de siic khoe tam than chuyen biet, tien hanh tri lieu true tiep hoac gioi thieu, giiip benh nhan va nguai nha vao vien, chuyen tuy^n truang hop can thifit, giai thich cac thong tin vk npi quy benh vi?n Sau dieu trj, nhan vien CTXH thuc hien nhiem vu diSu ph6i viec vien, xay dimg ke hoach chSm soc tai cpng dong, dieu ph6i trg giiip b^nh nhan va nguai nha tiep can dich vu cham soc sue khoe tai cgng d6ng [1] Mpt nghien ciiu dinh tinh sii dung hai phuang phap phong vin sSu va thao luan nhom mo ta cy thS cong viec ciia cac NVXH cung nhu nhiing thuan Ipi va kho khan hp phai duong dau tai Benh vien Da khoa tinh Khanh Hoa Tren co so ket qua nghien ciiu nay, tac gia dua nhung khuyen nghj nham gop phan nang cao chat lupng hoat dpng ciia nhan vien CTXH benh vien Ndi dung nghl§n cCfu Muc tieu nghien cu'u M6 ta vai tro ciia nhan vien CTXH tai Benh vien Da khoa tinh Khanh Hoa Phan tich mpt so thuan Igi, kho khan NVXH gap phai va de xuat cac giai phap nang cao chat luong hoat dgng ciia nhan vien CTXH benh vien 2.2 Doi tiftfng va phiidng phap nghien cdu Vai tro cila nhan vien CTXH tai Benh vien Da khoa tinh Khanh Hoa De thu thap day du thong tin ve vai tro ciia nhan vien CTXH theo tai Benh vien Da khoa tinh Khanh Hoa, tac gia tien hanh khao sat tren cac doi tucmg sau: Trucmg phong CTXH benh vien, nhan vien CTXH benh vien, nguai benh/ nguoi nha nguai benh dieu tri npi tni da dugc giiip da; nha tai trp Phuang phap dinh tinh: Sii dung hai kT thuat: Phong van sau truang hop va cugc thao luan nhom, 2.3 Ket qua nghien ciiu Phong CTXH tai Benh vien Da khoa tinh Khanh Hoa dugc lap theo cong van so 5830/BYT - KCB ve viec triln khai thi diem phong CTXH benh vien 30 thang 12 nam 2013 theo mo hinh Bp Y Te Theo do, phong CTXH Benh vi?n Da khoa tinh Khanh Hoa da dugc quy Sfi 25 thJing 01/2020 49 NGHIEN CUTU THl/C T I I N GlAO DUC dinh chuc nang va nhiem vy cu th^ g6m nam nhom hoat do, hp khong dii sang su6t lam chd dua tinh thin cbo nguoi dpng chmh, Giai quyet cac van dk tam li, xa hoi cho nguoi benh, khong dii sire cham sdc ngudi benh nhu phat dd dieu benh va nguoi nha nguoi benh vl dich vp kham, chiia benh tri gay anh hudng site khde ngudi benh NVXH luc ciia benh vien; Van dgng tai trg, trign khai h6 tro tai chinh phai hd trg tam li cho ngudi nha ngudi benh Mdt nhan vien cho ngirai benh kho khan, t6 chiic su kien; Truyin thSng vk xa hpi dugc phdng vin sau cho rang: "Co mgt ngucn cac chii dk lien quan; Dao tao vk linh vuc CTXH cho nhan me dua &kr\ day cir ndi minh benh than nang vien benh vien dii khong phai benh cua be Chi rit lo ISng va tu dieu tri Phong CTXH tai Benh vien Da khoa tinh Khanh Hoa cho theo each nghT ciia minh khong tuan theo hudng hien tai co can bg, vien chirc do: 01 Truang phong dan ciia bac sT Chi cho an rSt it sg be bi hu than khiSn va 04 nhan vien CTXH benh vien, lam viec theo Thong diia tre gSy gd, suy dmh duong nang Chung toi tim hilu tu 43 cua Bp Y te quy djnh nhiem vu va hinh thuc t6 chiic kT, dugc bilt chinh chi ciing benh than va nghT minh da lay thuc hien CTXH benh vien Ben canh do, cac dieu sang con, nen luc nao ciing dSn vat ban than va co suy nghT duong truang cac khoa luon phot hgp voi nhan vien Phong tieu cue Chiing toi phai thuc hien tiln trinh tham van cho cimg hoat dgng CTXH tai benh vien Nghien ciru danh gia chi" (PVS TH5) nhung cong viec cu the ciing nhu tim hieu nhiing thuan Igi Trong qua trinh nghien cira, nhom nghien cim nhan thay kho khan ciia NVXH lam viec vai nguai benh giai cac NVXH Benh vien Da khoa Khanh Hda da thirc hien doan hien de thay ro ket qua dat dugc ciia hg va dua kha tdt hoat dpng trg giiip tam li rat chuyen biet thupc Imh khuyen nghi can thiet giiip cho nhan vien CTXH benh vien siic khde De lam tdt hoat dpng nay, ddi hdi nhan vien xa tiep tue hoan tot sii menh da dupe nhom tac gia thuc hpi vira phai dugc dao tao chuyen mdn cdng tac xa hpi vua hien Ket qua nghien ciiu nhu sau: cd kiln thiic y khoa nhSt dinh Chinh viec dugc dao tao du Thi'f nhdt, NVXH trg giitp tdm li cho binh nhdn vd ngudi chufin da giiip hp giai quyet dugc nhieu van de tam li nhd benh nhdn NVXH tiep can, tham vdn dn dinh tdm li cho benh nhan va ngudi nha benh nhan Hoat dpng mang lai su cam kich, hai long ciia rat nhieu doi tupng dirpc cho binh nhdn vd ngudi nhd benh nhdn Ve viec can thiep tdm li cho ngudi benh Thong thucmg, trg giup Ben canh nhiing cdng dat dugc tir dpi ngii 05 nhan nguai mac benh, dac biet la nhung can benh hiem ngheo nhu ung thu, bong, tai bien thucmg co nhiing lo lang, vien CTXH dupe dao tao chinh quy ve CTXH, nhimg cong cang thang, khiing hoang tinh than Neu cac van de tam li viec trg giiip tam li vdi cac ngudi benh co ckc van de tam li khong dupe trp giup, can thiep thi se imh huong xau den phiic tap khac van la cong viec day khd khan doi hoi sire khoe benh nhan, gay kho khan cho tien trinh dieu tri phai cd chuyen gia tam li hoac NVXH dugc dao tao cho timg Cac benh nhan nhap vien co nhiing bieu hien bat on tam nhdm doi hjgng chuyen biet Phdng van sau mot NVXH cho li dupe cac bac sT ciia cac khoa cu the phat hien Trong cac biet: "Cd nhiing trudng hop chiing tdi chua dii site trp giup cupc hgp giao ban hang tuan, cac khoa chia se cac truang tam li cho hp, dd la nhirng benh nhan nhiem HIV rat khung hpp can ho trg cho NVXH Tren ca so do, NVXH tiep can hoang tam li, nhiing ngudi bi lam dung, nhiing ngudi nghiln nguai benh, danh gia miic dp ton thuong tam li cua nguoi khdng chiu noi nanggi ,"(PVS.TH4) benh, tim hieu nguyen nhan va len ke hoach tn lieu Mot Thu hai, VNXH hd tra cdc vdn di ve quy trinh khdm chm NVXH benh vien chia se: "Hien nay, nhan vien uu tien ho benh gidi quyet cdc vdn di tdm li xa hgi cho ngudi binh va trg cho cac trudng hgp ma cac khoa da gioi thieu, co bieu ngudi nhd ciia ngudi benh ve dich vu khdm chiia benh ciia hien bat on tam li ro rang nhu !o lang qua thai, tram cam, binh vien Khi tiep can benh nhan, cimg tim hieu dupe dung nguyen NVXH hudng dSn vl ihii tiic hanh chinh, giai dap thac nhan gay su khung hoang de co nhiing dpng vien, thao mac de ngudi benh/ngudi nha ngudi benh nam bat ve bao ga kho khan kip thai cho ngudi benh se giiip ngudi benh hiem y te va benh vi?n, NVXH phoi hop vdi bac sT dieu tri on dinh tinh than va hp rat cam kich Bdi doi vdi nhirng true tiep hoac nhan vien y te tai cac khoa de biet ro thong benh nhan ung thu hay bi tai bien dan den co the bj liet, hp tm ve tinh hinh siic khde, tam li, tai chinh cua ngudi b^nh cii nghT den cai chet, nghT minh vo dung nhung minh de len ke hoach hd trg Quy trinh hd tra benh nhan cu the ngoi ciing hp va sii dung cac lieu phap tran an tmh than, hg budc nhu sau (xem Hinh 1): se biet chap nhan benh sy binh an va hi vpng vdi loi Mpt nhan vien xa hgi cho biet, quy trinh dugc phoi song, loi suy nghT tich cue va niem tin se co the chiia lanh hgp rat chat che nham dam bao quyen Igi cho ngudi benh: benh" (PVS TH3) ",, Doi vdi trudng hgp can hd trg, dieu dudng trudng lam Ve viec can thiep tdm li cho ngudi nhd binh nhdn Ngudi td trinh cd chii ki ciia lanh dao khoa xac nhan vl hoan canh nha benh nhan doi dien vdi tinh trang cai ngudi khd khan cua benh nhan Sau do, nhan vien CTXH se xuSng than ciia minh mac phai benh hiem ngheo nhu ung thu hoac xac minh trudng hgp va len ke hoach ho trp., Tdt ca nhirng bi benh nang ban than minh gay nhu cha, me lam trudng hop se dugc trudng phdng CTXH tham mini bdng con, hoac kinh te gia dinh qua kho khan khong co kha cho Ban Giam ddc xem xet va phe duyet.,." (PVS TH 4), Cac dich vu ma CTXH b?nh vien cd thi cung cSp cho nang chi tra vien phi phai diing nhin ngudi than dau ddn thi hg trd nen xu6ng tinh than, buon chan, tram cam Tit benh nhan va gia dmh bao gom: Danh gia nhu ciiu vat chSt, 50 TAP CHI KHOA HOC GIAO DUC VIET NAM BlTOfCl Bl)6C BLTOfCa cao djnh ki Hinh I: Quy trinh hd tra binh nhdn tam li, xa hdi ciia benh nhan va gia dinh; Danh gia cac yeu to cpng ddng va xa hdi anh hudng den siic khoe va tri lieu; Cung cap cac dich vu can thiep giup benh nhan va gia dinh thich ung va dat dupe trang thai an sinh tot nhat; Ho trp ddi thoai giiia benh nhan, gia dinh va nhom tri heu; Ket noi, van dpng cac dich vu can thiet va thuc hien cac thii tue de benh nhan dugc hudng cac dich vu do; Can thiep khiing hoang, hoa giai mau thuan; Ket ndi cac nguon luc, tai nguyen den benh nhan; Xay dung va thuc thi ke hoach xuat vien; Hoan tdt thu tue gidi thieu dich vu cham sdc sau xuat vien De hoat dpng ho trg tam li, xa hpi cho ngudi benh/ngudi nha ngudi benh dupe tdt han, phdng CTXH cdn van dpng dpi ngu tinh nguyen vien tir cac to chiic xa hgi khac ngoai cpng ddng ho trg cho cong tac cham sdc, giup da ngudi b?nh qua trinh dieu tri Tuy nhien, giai quyet cac van de tam li, xa hdi cho ngudi benh/ngudi nha ngudi benh la mdt cong viec khd khan De lam tot hoat dpng nay, NVXH can phai dugc trang bi kien thiic ve chuyen mdn y te ben canh kien thiic ve chuyen nganh CTXH Thuc tl hien nay, NVXH chua dupe dao tao ve chuyen mon y te, cac kien thiic cd dugc tu hpc, ty trang bi qua trinh hoat ddng, chinh vi vay ehua dap ling tot dugc nhu cSu ciia mot sd van de sinh cdng vi?c, Thii- ba, NVXH thuc hiin cdc hogl ddng van dpng tdi trg NVXH van ddng su tham gia, ling hd tir cac co quan, to chiic, ca nhan de giiip dd ngudi benh, ngudi nha ngudi benh cd hoan canh kho khan hoac mac benh hiem ngheo Tai Benh vien Da khoa tinh Khanh Hda, quy trinh van ddng kinh phi hd trg cho ngudi benh/ ngudi nha ngudi benh gdm budc nhu sa dd sau (xem Hinh 2): De cd quy trinh tiep nhan nhu tren, phdng CTXH da tham khao y kien ciia cac phdng ban co lien quan va ban Giam doc, dam bao cdng khai, minh bach, cac quy dinh ve kiem toan va an ninh benh vien Ket qua phong van sau mdt nha hao tam danh gia: " Quy trinh tiep nhan tai trg ciia benh vien minh lam qua rd rang rdi, tien bac tat ca deu qua ngan hang, hang hoa deu dupe vao sd sach va chuyen den cac khoa nen toi thay quy trinh lioan loan hgp li, rd rang, lam cho ngudi dai dien cho mdt nhdm thien nguyen nhu chiing toi cam thay hoan toan yen tam, khdng co vudng mac gi,.," (PVS TH 8) Nhd cd quy trinh ro rang, thai lam viec tich cue ciia NVXH, su phoi hgp hoat ddng tdt giiia cac khoa, phdng nen boat ddng van dpng tai tra cua phdng CTXH mdt hieu qua Thanh phan kinh te, dia vixahdi, tdn giao cua nha hao tam den giiip ngudi ngheo tai benh vien cung rat da dang Mot nhan vien xa hpi cho biet: " Co ngudi la doanh nghiep, cd ngudi la can bp Nha nude nhung cflng cd ngudi la bac xe dm, em sinh vien, cd ngudi la cong giao nhung ciing cd ngudi la phat ni Cd ngudi giup ve tien bac nhung ciing cd ngudi giiip cdng sue nhu cac sa dang hoat dpng tai khoa Hoi sire tich cue chong dpc, Tdi thay rang, hoat ddng cd hieu qua va cd y nghTa cho xa hdi se dugc mpi ngudi quan tam va ghi nhan, nhu the mpi ngudi se ling hd hon Toi nghT dii so tien ddng gdp cang nhieu nhung van rat can sy chung tay Hinh • Quy trinh van ddng hd trg' kinh phi cho ngirdi benh So 25 thang 01/2020 51 NGHIEN COfUTHl/CTIEN GlAO DUC cua ca cpng ddng, xa hpi de cd nhieu ngudi se dupe hd trp them "(PVS TH3) Tir nguon van ddng hd trg kinh phi tir cac nha hao tam, benh vien da trien khai hoat ddng cung cap suat an tir thien rat hieu qua, giiip giam tai ganh nang kinh te cho nhiing ngudi benh cd hoan eanh khd khan Ngudn kinh phi cdn dugc su dung de mua sam cac trang thiet bi dugc sir dung vao boat dpng cham sdc va phue vu ngudi benh, nang cao chat lugng kham chii-a benh va cai thien mdi trudng lam viec cua nhan vien y te tai benh vien Phdng CTXH da soat lai quy trinh tiep nhan tai trg, tnen khai cac hoat ddng mpt each chat che, bat ban Ben canh do, phdng cung da phoi hgp vdi phdng Hanh chinh quan tri ciia benh vien trien khai cac boat dpng kiem tra, kiem soat nham ban che cac boat dpng mang danh nghTa tir thiende true Igica nhan , de tien hd trg tir cac nha hao tam dugc chuyen den tan tay ngudi benh, sy hd trp dupe thuc hien diing ddi tugng, diing thdi diem Tir nhirng boat dpng dugc tnen khai thdi gian qua, phdng CTXH da cling cd dupe niem tin cac nha hao tam, tao cau noi lien ket eac ben lai vdi nhau, Thu tu, NVXH td chuc cdc su kien hd tra binh nhdn Td chiic cac sy kien hoi nghi, hgi thao, chuang trinh gay quy eua benh vien; td chiic cac hoat dpng van hda, van nghe de giiip cai thien tinh than cua ngudi benh Cac chuang trinh la hoat ddng van hda, van nghe mang tinh nhan van cao, giup cho ngudi benh niem vui, tieng cudi, la nhung mdn qua tinh than tang them niem tin, ddng lye de ngudi benh vugt qua benh tat Mpt NVXH cho biet: "Vira qua cd td chiic dem nhac eiia ca sT Khanh Ly hat gay quy ho trg benh nhan ngheo va ca sT Khanh Ly ciing den hat cho cac phdng cd benh nhan ung thu Hoat dgng mang lai gia tri tinh than rat Idn cbo ngudi benh ," (PVS TH 7) Tuy la mpt hoat dpng mang nhieu y nghia, duac mong dai nhung den nay, hoat ddng chua dugc trien khai thudng xuyen vi " Phong CTXH thiiu nhdn luc vd chua cd kinh nghiem ITnh vuc "' (PVS TH2) Thir nam, NVXH truyen thdng vi CTXH binh vien Quang ba hinh anh, hoat ddng cua CTXH benh vien vdi cdng dong va xa hdi Tir cac hanh ddng, viec lam thiet thuc ciia phdng cac NHVX, cgng ddng da bilt kha nhieu ve vai trd ciia nganh CTXH benh vien Mgt NVXH cho biet: "Lam viec phai cd tdm, lam din nai den chon, lam nua vai se khdng cdng " (PVS TH 5) Dk thuc hien boat dpng truyen thdng quang ba hinh anh, phdng CTXH da xay dyng trang web va facebook ciia phdng, ddng thdi phdng ciing trien khai dang bai tren trang thdng tin siic khde ciia Bd Y tl, Thdng qua qua trinh thuc hien cac hoat ddng truyen thdng nhu: Quang ba hinh anh, kit ndi cac trudng hgp ngudi benh cd hoan canh khd khan vdi cac nha hao tam , boat dpng CTXH tai Benh vien Da khoa Khanh Hda da thu dugc mot sd ket qua nhat dinh: Sd luong cac nha hao tam mpt nhieu, sd lupng tien va qua hd trg mdi nam mdi tang, sd lupng ngudi benh dupe hd trg mdi nam mdi tang Kit qua thao luan nhdm cung cho 52 TAP CHi KHOA HQC GIAO DIJC VIET NAM thay Igi ich cua hoat dpng truyin thdng quang ba hinh anh: " DoTi v{ kit ndi v&i cgng dong nin niu nhu lam tdt se cd nhiiu ngudi ung hd, kit noi gida cdc nhd hdo tdm, thien nguyen de giup da nguai benh "{TLH l);hoac " Phong CTXH la mdt nhip cdu ket ndi lai biit ngudi ta Idm gi de dap ung cho hg kip thai " (PVS TH9) Tuy nhien, khd khan hien la nhiing ngudi dan, ngudi benh va ca mot sd it nhan vien y td vin cdn chua hieu ro CTXH la gi, hoat dpng vi muc dich givi " CTXH m&i linh vuc y ti, nhieu ngudi chua hiiu rd hit vi nganh CTXH benh vien chua cd he thdng xuyen sudt kit ndi vdi cdc tuyin " (PVS TH4) Da sd mgi ngudi van cdn nham lan giUa CTXH va tir thien xa hpi Ben canh do, nhan luc ciia phdng CTXH hien cdn yen va thieu Chinh vi vay, hieu qua ciia hoat dpng chua dap ling dugc nhu cau thuc te, Khuyen nghi Mdt sd khuyen nghi tir nhdm tac gia nham giiip cho cdng viec ciia NVXH benh vien dat hieu qua cao han: Thu nhdt, de thuc day vai trd nhan vien CTXH benh vien, can tiep tue bdi duong chuyen mdn ve CTXH, ve luat, tam li hpc va ve y te giiip cho viec trien khai cac hoat dgng CTXH dugc tdt hon nham giiip ho tang cudng hon niia hoat dpng hd trg giai quyet cae van de tam li cho ngudi benh/ ngudi nha ngudi benh, tham van, tu van cho ngudi benh biet each phdng ngira benh tat, giup tre em bi xam hai tinh due hay phu nO bi bao hanh vugt qua khung hoang va dac biet ia hoat ddng trien khai ket ndi ngudi benh/ngudi nha ngudi benh vdi dich vu y te sau xuat vien va tai cdng ddng; Thu hai, can bd sung nhan luc cd chuyen mdn ve CTXH, ve luat hoac tam li hpc giiip cho viec trien khai cac hoat ddng CTXH dupe tdt han; Thu ba, viec trien khai hoat ddng CTXH benh vien dang thye hien kha cdng, nhan vien CTXH tiep tue vira lam vira hgc, nghien ciiu md hinh CTXH d eac nude phat trien nhu MI, Ha Lan de ap dung vao thuc te d benh vien, timg budc chuyen nghiep hoa CTXH benh vien Thir lu NVXH benh vien phai lam nhieu vai trd, nhieu thach thirc khac nhau, nen mite lucmg hg nhan dugc phai dii cho hg trang trai cupc sdng Tdm lai, nhu eau dao tao va phat trien nghe CTXH benh vien hien la rat Idn, dac biet la ITnh vuc y te Tuy nhien, cac van ban phap li hudng dan trien khai hoat dpng CTXH chua day dii, chua co che dai ngd thoa dang cho nhan vien iam CTXH Ben canh dd, dpi ngii nhan vien hoat ddng CTXH chua dugc dao tao chuyen sau ve kien thiic chuyen mon ciing nhu cac kT n3ng khac nen tinh chuyen nghiep chua cao, hieu qua cdng viec chua dap ting dugc nhu mong dgi Ket luan ISTVXH tai Benh vifn Da khoa Khanh Hda da rk no luc viec thuc hi?n vai trd ciia minh ddi vdi ngudi benh/ ngudi nha ngudi b?nh va da mang lai su hdi Idng, tin tudng, tin cay ciia nhilu ngudi benh/ ngudi nha ngudi benh, the hien sir m?nh ciia n g h i CTXH benh vien, dd la tao dung mdi quan he hai hda giira tinh than va the chat cita ngudi benh, giua benh nhan vdi ngudi than, giua ngudi benh vdi nhung ngudi xung quanh va vdi nhan vien y t l Mac dii ngudn nhan Iyc cdn han che nhimg phdng hoat ddng rat hieu qua tao uy tin, thuong hieu cho benh vien, nang cao sy hai Idng ngudi benh/ngudi nha ngudi benh Vdi tinh trang qua tai tai Benh vien Da khoa tinh Khanh Hda nhu hien nay, viec giiip da, hd trp benh nhan ciia dpi ngn nhan vien y te se khdng dat hieu qua cao Chinh vi vay, vai trd eua NVXH cac benh vien het siic quan trpng NVXH benh vien se giiip cho benh nhan va gia dinh hp hieu dugc benh tat ma hp mac phai, tham van cho hp viec can phai Iam NVXH benh vien sir dung kT nang quan li giiip benh nhan va gia dinh xac dinh va giai quyet cac van de xa hpi, tai chinh, tam li lien quan den tinh trang siic khoe eua hp Ben canh do, NVXH cdn la vien cua nhdm lien nganh berth vien, phoi hop tdt vdi dpi ngii y, bac sT qua trinh cham sdc, dieu tri cho benh nhan N V X H benh vien cdn la cau ndi giiip cho cac nha cung cap dich vu hieu dugc nhiing khia canh cam xuc va xa hpi ve benh tat ciia benh nhan Nhu vay, cac hoat dgng CTXH benh vien khdng chi giiip ich cho ngudi benh, ngudi nha cua hp mit cdn cd y nghTa quan trpng viec hd trg giam ap luc cdng viec cho can bp y te va gdp phan nang cao chat lugng cung cap dich vu cua cac c a sd y te, Cd the ndi rang, de cham sdc site khde tdt nhat cho ngudi dan thi khdng chi la viec chiia tri ngudi dan cd benh tat ma can phai tao cho hg mgt nen tang an sinh xa hdi tdt nhat Vdi nhiing ngudi yeu the, an sinh xa hgi tdt nhat bat dau tir he thdng y te ma cu the lit cac c a sd y te, benh vien, day la noi ngudi can dugc cam thiy an toan, thoai mai dm dau T3i lifu tham khao [1] [2] [3] [4] http://laodongxahoi.net/vai-tro-iihan-vien-cong-tac-xahoi-trong-benh-vien-131063 7.html Doan Thi Thuy Loan, (2016), Ddnh gid Ihuc Irang tnen khai cdc hoat dgng cong tdc xa hdi tgi benh vien da khoa tinh khdnh hoa nam 2014 - 2015, Luan vSn Thac si quan li b?nh vien Tntdng Dai hpc Y te Cong cpng Ha Noi Hoang Hiln, (06/6/2016), B^nh vien Tim Hd Ngi: Cong tdc xa hpi phdi luon song hanh ding v&i cdc chuyen mon khdc, http://t5g.org.vn^enh-vien-tim-ha-nol-cong-tac-xa -hoi-phai-luon-song-hanh-cung-voi-cac-chuyen-mon-khac Bo Y tl, (2015), Thong tu s6 43/2015/TT-BYT ban hanh Quy dinh ve nhiem vu vd hinh thirc td chiic thuc hien nhiem vu cong tdc xa hgi Benh vi^n Editor, Editors, Ha Noi Tran Dinh Tuan, (2015), Cong tdc xa hgi benh vien Hoi thao Chia se kmh nghiem phat tnen phong Cong tac xa hpi benh vien va so ket tnen khai thiic hien de an phat trien nghe Cdng tac xa hoi nganh Y te giai doan 2011 - 2020, Bo Y tl, Nha Trang, pp i-9 Bui Thi Xuan Mai, (2014), Gido trinh Nhap mdn cong lac xa hoi, NXB Lao dpng Ha Noi Dao Van Diing, (2012), Cong tdc xa hdi cham soc sire khoe nhdn dan, NXB Chinh tn Quoc gia - Su that Ha Npi THE ROLE OF SOCIAL WORKERS AT KHANH HOA GENERAL HOSPITAL Huynh Thi Bich Phung Khanh Hoa University 01 Nguyen Chanh, Nha Trang city, Khanh Hoa province, Vietnam Email' huynhthibichphung@ukh edu ABSTRACT: Circular No.43 of the Ministry of Health defines the tasks and forms of implementing social work practice in the hospital On the basic of the legal documents, social work has been rapidly deployed in hospital Social work practice in hospitals particularly plays an important role in creating harmonious relationship between mental and physical patients, between patients with relatives, among patients with those around them and to medical staffs Khanh Hoa General Hospital is seeking for competent social workers who empower clients to cope with their physical - mental health challenges as well as other environmental and finaneal issues A qualitative study with the focus group discussion and in-depth interview has described the tasks of social workers in Khanh Hoa General Hospital Based on these results of this study, the writers made recommendations to improve the quality of social workers in hospitals KEYWORDS: Social work; social workers in hospital; role So 25 thang 01/2020 53 ... qua trinh nghien cira, nhom nghien cim nhan thay kho khan ciia NVXH lam viec vai nguai benh giai cac NVXH Benh vien Da khoa Khanh Hda da thirc hien doan hien de thay ro ket qua dat dugc ciia hg... cho li dupe cac bac sT ciia cac khoa cu the phat hien Trong cac biet: "Cd nhiing trudng hop chiing tdi chua dii site trp giup cupc hgp giao ban hang tuan, cac khoa chia se cac truang tam li cho... phdng cac NHVX, cgng ddng da bilt kha nhieu ve vai trd ciia nganh CTXH benh vien Mgt NVXH cho biet: "Lam viec phai cd tdm, lam din nai den chon, lam nua vai se khdng cdng " (PVS TH 5) Dk thuc hien
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