Ingabe I-Nocturnist Job Yilungile?
Iyini i-nocturnist, njengoba ihlobene nembonini yezempilo? Ngokuqinisekile, i-nocturnist yimuphi umsebenzi wezezempilo osebenza ubusuku bonke njalo. Kodwa-ke, ukusetshenziswa okujwayelekile kakhulu kwesihloko esithi "i-nocturnist" kubhekisela kudokotela osekelwe esibhedlela osebenza kuphela ohlelweni lwebusuku.
Njengoba ukunakekelwa kwempilo kwakhula ngokukhethekile nangokwengxenye yeminyaka eminyakeni yamuva, ikakhulukazi eminyakeni eyishumi kuya kwengu-20 eyedlule, imodeli yesenzo esisekelwe esibhedlela yabamba, yakhula ekuthandeni nasekukhusheni kuwo wonke ama-2000, futhi iyaqhubeka ikhula ekudleni kuze kube namuhla.
Izibhedlela ziyizinyanga ezihlinzeka ngokuzungezile-ukunakekelwa okuphelele iziguli zesibhedlela, ngaphandle kokulondoloza noma yikuphi isimiso semitholampilo noma imithwalo yemfanelo yokwelashwa nhlobo. Abaningi esibhedlela babeqeqeshelwe imithi yomndeni noma imithi yokwelashwa yangaphakathi, kanti abanye bangathola ukuqeqeshwa okwengeziwe emithi yesibhedlela ngonyaka owengeziwe wokuqeqeshwa kobudlelwano esibhedlela semithi yesibhedlela, noma isitifiketi se-qualified qualification (CAQ).
Izibhedlela eziningi zaqala ukufuna abahlengikazi bezokwelapha nabomndeni ukuba bagcwalise izindima zesibhedlela, bebenze abasebenzi bezinsizakalo zokunakekela izingane eziyinhloko, bese bephule ukuba babe izingxenye ezincane ezihlanganisa nalabo abafuna ukuqhuba ukunakekelwa okusekelwe esibhedlela, nalabo abafuna ukubona kuphela iziguli ehhovisi. Imodeli yendabuko yokunakekelwa okuyinhloko, okubandakanya ukuxuba ukwelashwa kanye nokunakekelwa kwesineke, isuke ingavamile emakethe yezempilo yanamuhla.
Abahlengikazi abaningi bezokwelapha emndenini nabahlengikazi bakhangwa esibonelweni sasesibhedlela, kubandakanya ukujikelezwa kwesimiso se-block, okuvumela isonto elilodwa ukuba liphumele njalo ngesonto, kanye nesilinganiso semali yesinxephezelo esiphezulu kakhulu, uma kuqhathaniswa nomkhuba wokunakekelwa okuyinhloko.
Ukusebenza Njengobusuku Bokuhlwa
Emakethe yezempilo yanamuhla, iningi, uma kungenjalo zonke izibhedlela zingasebenzisa abasebenzi basezibhedlela noma zivumelane neqembu labo.
Isibhedlela sesibhedlela saba nesidingo sokuba odokotela bazimisele ukusebenza ngezikhathi zobusuku njengezibhedlela, njengoba kwakungekho odokotela ocingweni. Lezi zibhedlela zasebusuku zibizwa ngokuthi ama-nocturnists.
Nakuba izibhedlela "ezivamile" (zesikhathi sasemini) zivame ukusebenza ngo-7: 00 ekuseni kuya ku-7: 00 ntambama, isimiso sebusuku sithatha isikhathi se-7: 00 ntambama kuya ku-7: 00 ekuseni. Amahora kanye nokushintshashintsha kungahluka ngokusebenza, kepha okuvame kakhulu ukuphela kwehora lama-12 nokuqala ngo-7: 00.
Uma ukusebenza ebusuku kungabonakali kumnandi noma kungenzeke kuwe, khumbula ukuthi izibhedlela zivame ukwenza isimiso sokuvimba, okusho ukuthi zisebenza ngokuyisishiyagalolunye amahora angu-14 kuya kwezingu-12, bese zinezinsuku ezingu-7-14 ngokugcwele. (Amanye amabhlogo angase abe nezinsuku ezinhlanu, izinsuku ezinhlanu zivuliwe.) Ngakho-ke, njengesibhedlela, isikhathi sakho somndeni nesikhathi sakho somuntu siqu sizobe sesincane kakhulu ngesikhathi sokusebenza lapho usebenza, kungakhathaliseki ukuthi usebenza izinsuku noma ubusuku.
Ehlangothini le-flip, usuke uneminyaka engu-7-14 kwezinsuku ezilandelanayo, lapho ungahlala khona ngokuvumelana nesimiso esisebenza kahle kuwe.
"Njengomzali ongayedwa, ukuba ngumsizi wesikhombisomlilo wanginika isikhathi sokuba ngichitha nabafana bami abaneminyaka eyisithupha ngesikhathi semini ... ngiwayisa esikoleni, ngiwaqoqe, ngiwayise epaki, uma ngingeke ngibe khona emsebenzini." -Jorge Sallaberry, MD
UJorge Sallaberry, MD, uSFHM, uye wasebenza njengesibhedlela kusukela ekuqedeni ukuqeqeshwa ngo-2003. Wayesebenza "amahora" avamile, kuze kube sekupheleni kweminyaka emithathu eyedlule, lapho eba ngumsizi we-nocturnist. UDkt. Sallaberry okwamanje usebenza yiCentura Health Physician Group (CPHG) e-Castle Rock, CO.
UDkt. Sallaberry uyachaza: "Ngokuhlakanipha ngakhetha uhlobo oluthile lwesibhedlela lapho ngangazi ukuthi ngizofuna ukusebenza njengobusuku bokuhlwa." "Ngathuthela e-Castle Rock ngivela eReno lapho ngenze khona ukuhamba ebusuku. Lapho, ngangivuka ebusuku, ngivuma iziguli ezingu-18 ubusuku bonke, ngaphandle kokuhlinzekwa phansi. Ngangingenaso isithakazelo ekwenzeni lokho [isikhathi esigcwele] , ngakho-ke, lapho ngifuna indima yesikhathi esigcwele i-nocturnist, ngakhetha izibhedlela ezincane zomphakathi lapho umsebenzi wokuhlwa kusihlwa khona. "
Imikhiqizo kanye ne-Cons of the Night Shift
Uma kuqhathaniswa nezinsuku zokusebenza, "umthwalo wemisebenzi wehle kakhulu (Ngisebenza esibhedlela esincane somphakathi emaphethelweni aseDenver), ngaleyo ndlela ngithuthukise izinga lokuphila (Ngivame ukufumana amahora angu-2-4 okulala nsuku zonke). ukudlala, kanye nesikhathi sokulala kwamandla amahora angu-2 kuya kwangu-3 ngaphambi kokubuyela emsebenzini, "esho.
Ukuhamba kwebusuku nakho kunganikeza izinga lokuzimela, ukuzimela, nokuzivumelanisa nezimo, kufaka phakathi ikhono lokugwema noma yisiphi isombusazwe esendaweni noma ukubhekana nokuphathwa kwezibhedlela njalo. "Uhlelo lwami luvulekile kakhulu. Ngithola ama-dibs kuqala ekuhleleni, njengoba ama-docs amalanga onke azogcwalisa ubusuku bawo ubusuku bami. Isibhedlela sabuye saxosha isikhundla se-nocturnist ngokukhokha inkokhelo efanayo nabalingani bami basuku lokusebenzela ama-shift amane inyanga ngayinye. "
Naphezu kwemiphumela eminingi yokusebenza njengobusuku obubusuku, futhi umthelela omuhle owenzile empilweni yakhe, uDkt. Sallaberry uyavuma ukuthi umsebenzi webusuku akuwona wonke umuntu. Uyanezela: "Ikhuthaza abahlengikazi abambalwa abakhetha ukuzisebenza ngokuzimela futhi banesimo esithile sokududuza ema-acumen yabo emtholampilo." Ama-nocturnists kumele azimisele ukudela ubusuku obuningi emsebenzini, futhi kungase kube nzima ukushintsha ukushintshana namanye odokotela uma kudingeka, kuye ngokuthi ubukhulu bethimba labase-esibhedlela, nenani labasebusuku babelane ngesimiso ebusuku. Esimweni sikaDkt. Sallaberry, nguye kuphela ozinikezela ubusuku obusizi endaweni yakhe.
Ukwengeza, uDkt. Sallaberry uchaza ukuthi uma usebenza ebusuku, unokufinyelela okulinganiselwe ezinsizeni ozisebenzisayo nokubhekana nezimo eziphuthumayo zezokwelapha. Noma kunjalo, umthwalo wokusebenza kusihlwa ukhulu kakhulu kunemini. UDkt. Sallaberry uthi: "Umsebenzi wami njengobusuku obubusuku kuwukuthi 'ukukhipha imililo' ezigulini ezivunyelwe, futhi ukuvuma iziguli ezintsha. Angiwenzi imihlangano yomkhaya ngaphandle kokuba isiguli sigula kakhulu futhi nginakekelwa ngokuqondile."
Imali Ikhuluma: Isihlomelo sezinsuku ze-Nocturnists siphezulu kunezinye izibhedlela
Ngenxa yokutholakala okuncane kwezinyanga ezitholakalayo futhi ezithakazelisayo emsebenzini wokusebenza ebusuku, abantu abasebenzisa i-nocturnists bavame ukuthola imali engaphezu kwababhedlela abasebenza ngosuku lokushintsha. Noma, njengokwesehlakalo sikaDkt. Sallaberry, abakwa-nocturnists bangase basebenze ama-shifts ambalwa njalo ngenyanga, ngenani elifanayo lemali njengabangane babo bosuku.
Abaqashi abaningana ku-The Medicus Firm, inkampani kazwelonke yokucwaninga odokotela, njengamanje kubhekisela ekuhloleni kwezibhedlela eziningana ezindaweni ezihlukahlukene ezweni lonke. Balinganisa ukuthi inkokhelo yama-nocturnists ingaba ngu-$ 20,000 kuya ku-$ 40,000 ephakeme minyaka yonke, uma kuqhathaniswa nesinxephezelo sabasibhedlela abahlala njalo abasebenza ngosuku lokuhamba. Noma kunjalo, lokho kungashintsha futhi.
U-Kiersten Feldman, udokotela oqasha umxhumanisi ehhovisi lase-Atlanta eqinile, kubika ukuthi omunye wamaklayenti akhe esifundeni esiseningizimu-mpumalanga yezwe uhlinzeka ngemali eyizigidi ezingu-100 000 kumholo wonyaka wamabhasi. Uyanezela ukuthi, odokotela abangakwazi ukuphatha isimiso esiyingqayizivele, amathuba okuba ne-nocturnist anemali efana no-hers anikeza ngendlela enhle odokotela ukuba bakhokhele isikweletu, bagcine imali ethile, noma bahlangabezane neminye imigomo yezimali ngemali engenayo eyengeziwe.
UChris Miller, udokotela oyinhloko odokotela we-The Medicus Firm e-Dallas, uye wafaka ngokuphumelelayo imisebenzi yokuzibamba izibhedlela eziningana. Uyavuma ukuthi, ngenkathi indima yebusuku ihola inzuzo, akuyona neze indima efanele kuwo wonke umuntu. Uphawula ukuthi abanye odokotela abanemikhaya bathola inselele yobusuku obunzima, kanye nomsebenzi ngokwawo. "Abantu abakhohlwa yi-Nocturnists abanakho ukuvuselela okuningi njengoba izibhedlela zansuku zonke zivame ukwenza kanjalo, ngakho-ke, ababusuku bebusuku bangase badingeke benze umthamo ophakeme wezinqubo noma izikhalazo kunokuba isibhedlela sasizokwenza ngosuku olujwayelekile." Uyanezela ukuthi ama-nocturnists angase abe neziguli ezimbalwa ngaphezu kwazo zonke izinto ezihamba phambili, kodwa zizovuma ngaphezulu, (okusho iziguli ukuthi zizitholele esibhedlela) ngakho-ke ezinye izincwadi, kunokuba isibhedlela siphethe ngosuku olujwayelekile.
Izwi elivela
Uma ungumhlengikazi ucabanga ngomsebenzi njengobusuku bombusi, kunezici eziningi okufanele uzicabangele, njengoba kunanoma yikuphi ukuguqulwa komsebenzi omkhulu. Nguwe kuphela nomndeni wakho onganquma ukuthi isiphi isimiso nomsebenzi kuzoba usizo kakhulu ezidingweni zakho kanye nemigomo yakho siqu. Akukho msebenzi owodwa kunoma iyiphi insimu ehlangabezana nazo zonke izidingo zomuntu wonke, ngakho-ke umqeqeshi ngamunye nomndeni wakhe kufanele baqale bahlole ngokucophelela izinzuzo kanye nokuziqhenya kwanoma yiliphi ushintsho lomsebenzi olungenzeka, bese ucabangela ukuthi kungathinta kanjani ukuphila komuntu wonke ngaphambi kokwenza isinqumo sakho .