Presenting a competency model of treatment managers with a qualitative method of passive defense in hospitals


  • Maryam Homaei Department of Management, School of Humanities, Islamic Azad University, Saveh Branch, Saveh, Iran
  • Ehsan Sadeh Department of Management, School of Humanities, Islamic Azad University, Saveh Branch, Saveh, Iran
  • Zeinolabedin Amini Sabegh Department of Management, School of Humanities, Islamic Azad University, Saveh Branch, Saveh, Iran
  • Alireza Afsharnejad Department of Management, School of Humanities, Islamic Azad University, Saveh Branch, Saveh, Iran



Competency Model, Treatment Managers, Passive Defense


BACKGROUND: Passive defense is one of the most effective and sustainable methods of defense against threats, especially in hospitals. In hospitals, worthy managers are nessesary to continue growth and sustainable success. Aim of this research is presenting a competency model of treatment managers using a qualitative method in field of passive defense.

METHODS: The statistical population in the qualitative field included 26 experts from the scientific community and academic specialists. Comprehensive library reviews and evaluation of past studies were done and then, using the Delphi method, the dimensions and competency components of managers were identified with a passive defense approach. Kendall test and "Kendall’s coordination coefficient" were used to evaluate the degree of consensus and coordination of panel members. Data were analyzed by SPSS software and by executing the analyze command, nonparametric tests, and K related samples (P = 0.05).

RESULTS: The value of Kendall coefficient was 0.766 for the level of agreement and consensus of experts in the second round for the competency dimension of managers and 0.746 for the competency components of managers, which showed that there was coordination between views. The mean and standard deviation (SD) of panel members' responses in the first round and in the second round showed the importance of competency factors.

CONCLUSION: The competence of senior managers can change their performance in this position in the organization and generally help in identifying potential and profound characteristics. Therefore, managers should increase the general knowledge by participating in training courses and psychology topics.


Alotaibi YK, Federico F. The impact of health information technology on patient safety. Saudi Med J 2017; 38(12): 1173-80.

Kabene SM, Orchard C, Howard JM, Soriano MA, Leduc R. The importance of human resources management in health care: a global context. Hum Resour Health 2006; 4: 20.

Srikanth PB, Jomon MS. Perception of Managerial Competency Needs: An Indian Perspective. South Asian J Hum Resour Manag 2015; 2(2): 139-70.

Fairburn CG, Cooper Z. Therapist competence, therapy quality, and therapist training. Behav Res Ther 2011; 49(6-7): 373-8.

Rashid Kolvir H. Evaluation requirements of passive defense along critical management planning in urban management course (Case study: Ardebil city). 2021.

Shakibamanesh A. Secure urban design in terms of passive defense approach; analytical considerations for improving form-based characteristics in Iranian cities. Armanshahr Architecture & Urban Development 2015; 8(14): 145-64.

Arash B, Shahla E. An analytical approach to the issue of passive defense in relation with preservation of urban elements. Curr World Environ 2014; 9(2): 350-60.

Heidarifar M, Mahmoudi A. Analysis of Javanrud Urban land use vulnerability to earthquake, using network analysis (ANP) and geographic information system (GIS). Hum Geogr J 2021; 53(1): 119-37.

Romanowska J, Larsson G, Eriksson M, Wikstrom BM, Westerlund H, Theorell T. Health effects on leaders and co-workers of an art-based leadership development program. Psychother Psychosom 2011; 80(2): 78-87.

Institute of Medicine. Health professions education: A Bridge to Quality. Washington, DC: National Academies Press; 2003.

Jenkins JH. The state construction of affect: political ethos and mental health among Salvadoran refugees. Cult Med Psychiatry 1991; 15(2): 139-65.

Bambra C, Fox D, Scott-Samuel A. Towards a politics of health. Health Promot Int 2005; 20(2): 187-93.

Ghasemian A, Hosseini SM, Jafari M, Seyedjavadi M. Knowledge of hospital senior managers about passive defense. Quarterly Journal of Nursing Management 2017; 6(1): 32-41.

Eftekhari A, DehghaniTafti A, Nasiriani K, Hajimaghsoudi M, Fallahzadeh H, Khorasani-Zavareh D. Identification and prioritization of key components influencing prehospital emergency related to preventable road traffic injuries deaths in Iran; A Delphi Study. Bull Emerg Trauma 2019; 7(4): 381-9.

Mousavi SH, Soltani I, Peykani Mehraban H. Presentation of the competency model of leaders in a quantum organization. Human Resource Management in the Oil Industry 2020; 11(43): 55-85. [In Persian].

Ayre C, Scally AJ. Critical values for lawshe's content validity ratio: Revisiting the original methods of calculation. Meas Eval Couns Dev 2013; 47(1): 79-86.

Evans JM, Brown A, Baker GR. Organizational knowledge and capabilities in healthcare: Deconstructing and integrating diverse perspectives. SAGE Open Med 2017; 5: 2050312117712655.

Van Tuong P, Duc Thanh N. A leadership and managerial competency framework for public hospital managers in Vietnam. AIMS Public Health 2017; 4(4): 418-29.

Dalkey N, Helmer O. An experimental application of the DELPHI method to the use of experts. Manag Sci 1963; 9(3): 458-67.

Fletcher AJ, Marchildon GP. Using the Delphi method for qualitative, participatory action research in health leadership. Int J Qual Methods 2014; 13(1): 1-18.

Yanez MR, Avila JA, Bermudez MI, De Miguel I, Bellver V, Guilabert M, et al. Delphi study to identify the management skills of nursing executives. Rev Calid Asist 2016; 31(2): 113-21.




How to Cite

Homaei M, Sadeh E, Amini Sabegh Z, Afsharnejad A. Presenting a competency model of treatment managers with a qualitative method of passive defense in hospitals. Chron Dis J. 2021;9(4):167–178.



Original Article(s)