Designing a competency model for the succession of nursing managers, using the Fuzzy Inference System
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Abstract
Background & Aim: Identifying competencies is fundamental for effective succession planning. Studies show that achieving a suitable succession planning model for mid-level nursing managers/supervisors can be helpful in achieving the desired goals of top-level nursing managers/matrons. Thus, this study aimed to design a competency model for the succession of mid-level nursing managers from the perspective of top-level nursing managers using the Fuzzy Inference System.
Methods & Materials: This health services management research was conducted during 2020-2021. Participants in this study included top-level nursing managers/matrons working in the hospitals affiliated with the Tehran University of Medical Sciences. A census sampling method was used in this study with 14 matrons participating as experts. A three-level Fuzzy Inference System was designed by a competency model for mid-level nursing managers/supervisors, using the previous study. Input and output variables were defined, and fuzzy questionnaires were designed using pair-wise comparison matrices to gather expert opinions on fuzzy rules. These rules were analyzed using MATLAB (R 2019 b) software to compare the effect of each criterion on other levels.
Results: The results showed that managerial experience, equipment management, emotional intelligence, influence and impact on others, self-confidence, and strategic thinking in the first Fuzzy Inference System level, as well as management abilities, influencing skills, and leading management development in the second level, were more influential. In the third- level, the perceptual, relational, and technical variables had higher priorities, respectively.
Conclusion: Senior managers could use the proposed model as a checklist/questionnaire to make strategic planning for the succession of nursing managers.
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20. Kakemam E, Dargahi H. Competencies Gap in Hospital Management in Tehran, Iran: A Cross-sectional Survey. Journal of Health Management. 2019;21(4):451-64.
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22. Malmoon Z, Tourani S, Maleki M, Jafari M. Future competencies for hospital management in developing countries: Systematic review. Medical Journal of The Islamic Republic of Iran (MJIRI). 2020;34(1):95-101.
23. Moradi F, Ziapour A, Abbas J, Baharirad N. Hospital Managers Skills Required and Onward Challenges: A Qualitative Study. Journal of Education and Health Promotion. 2020;9(1):59-68.
24. Van Tuong P, Thanh ND. A Leadership and Managerial Competency Framework for Public Hospital Managers in Vietnam. AIMS Public Health. 2017;4(4):418-29.
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26. Meadows MT. New competencies for system chief nurse executives. JONA: The Journal of Nursing Administration. 2016;46(5):235-7.
27. Moghaddam NM, Jame SZB, Rafiei S, Sarem AA, Ghamchili A, Shafii M. Managerial competencies of head nurses: a model and assessment tool. British Journal of Nursing. 2019;28(1):30-7.
28. Bano Y, Omar SS, Ismail F. Succession planning best practices for organizations: A systematic literature review approach. International Journal of Global Optimization and Its Application. 2022;1(1):39-48.
29. Belasen A, Belasen AR. Value in the middle: Cultivating middle managers in healthcare organizations. Journal of Management Development. 2016;35(9):1149-62.
30. Shahhosseini V, Sebt M. Competency-based selection and assignment of human resources to construction projects. Scientia Iranica. 2011;18(2):163-80.
31. Haji A, Assadi M. Fuzzy expert systems and challenge of new product pricing. Computers & Industrial Engineering. 2009;56(2):616-30.
32. González García A, Pinto-Carral A, Sanz Villorejo J, Marqués-Sánchez P. Nurse Manager Core Competencies: A Proposal in the Spanish Health System. International Journal of Environmental Research and Public Health. 2020;17(9):1-15.
33. Ma H, Chihava TN, Fu J, Zhang S, Lei L, Tan J, et al. Competencies of military nurse managers: a scoping review and unifying framework. Journal of Nursing Management. 2020;28(6):1-11.
34. Pihlainen V, Kivinen T, Lammintakanen J. Management and leadership competence in hospitals: a systematic literature review. Leadership in Health Services. 2016;29(1):95-110.
35. Valdez R, Maldonado Y, Quevedo JA. Fuzzy Hardware Tool: An Adaptable Tool to Facilitate the Implementation of Fuzzy Inference Systems in Hardware. Electronics. 2023;12(13):2853.
36. Xu K, Sun W, Wang L, Yang Z, Wang J, Wang S, et al. Global sensitivity analysis of influence parameters in pitting corrosion behavior of 304 stainless steel using adaptive neuro‐fuzzy inference systems. Materials and Corrosion. 2021;72(5):805-15.
37. Amini Faskhoudi A. Application of fuzzy logic inference in regional planning and development studies. Quarterly Knowledge and Development. 2005;2(17):39-62[Persian].
38. Khorasani-gerdehkouhi M, Taheri SM, Cheraghi MA. Designing a competency model for middle-level nurse managers using the Fuzzy Delphi Method (FDM). Quarterly Journal of Hospital. 2022;21(1):52-65 [Persian].
2. Lopes AG, Narattharaksa K, Siripornpibul T, Briggs D. An assessment of management competencies for primary health care managers in Timor‐Leste. The International Journal of Health Planning and Management. 2020;35(2):520-31.
3. Etemadian M, Mosadeghrad AM, Soleimani MJ, Hedayati SP. Succession planning success factors in a hospital: A case study. Payesh. 2020;19(1):41-61[Persian].
4. Ndayishimiye C, Dubas-Jakóbczyk K, Holubenko A, Domagała A. Competencies of hospital managers–A systematic scoping review. Frontiers in Public Health. 2023;11:01-8.
5. Tongmuangtunyatep K, Lynn M, Kunaviktikul W. Nurse Manager Competency: Views from Executives in Thai Community Hospitals. Asian Journal for Public Opinion Research. 2017;4(2):88-107.
6. González García A, Pinto‐Carral A, Pérez González S, Marqués‐Sánchez P. A competency model for nurse executives. International Journal of Nursing Practice. 2022;28(5):e13058.
7. Miri S, Abu Mansor NN, Alkali A, Chikaji A. The Role of First Line Nurse Manager. Review of European Studies. 2014;6(4):31-41.
8. Pillay R. Towards a competency‐based framework for nursing management education. International Journal of Nursing Practice. 2010;16(6):545-54.
9. Rothwell W. Effective succession planning: Ensuring leadership continuity and building talent from within. 4 ed: Amacom; 2010. p. 85-91.
10. Griffith MB. Effective succession planning in nursing: a review of the literature. Journal of Nursing Management. 2012;20(7):900-11.
11. Titzer J, Phillips T, Tooley S, Hall N, Shirey M. Nurse manager succession planning: synthesis of the evidence. Journal of Nursing Management. 2013;21(7):971-9.
12. Bouttelet Munari D, Gomes Nogueira AL, Teixeira Sousa E, Miranda Ribeiro LC, Sherman R. Leadership succession: a necessary reflection for the future of nursing. Revista Eletronica de Enfermagem. 2019;21:1-7.
13. Gordon PA, Overbey JA. Succession Planning: Promoting Organizational Sustainability. 1 ed: Springer; 2018. p. 20.
14. Yudianto K, Sekawarna N, Susilaningsih F, Ramoo V, Somantri I. Succession planning leadership model for nurse managers in hospitals: a narrative review. Healthcare (Basel). 2023;11(4):454.
15. Turner P. Linking Leadership and Succession Planning. In: Turner P, editor. Leadership in Healthcare: Delivering Organisational Transformation and Operational Excellence. Cham: Springer International Publishing; 2019. p. 233-62.
16. Varasteh S, Esmaeili M, Mazaheri M. Factors affecting Iranian nurses’ intention to leave or stay in the profession during the COVID‐19 pandemic. International Nursing Review. 2022;69(2):139-49.
17. LaCross E, Hall N, Boerger JA. Nurse Manager Succession Planning: Evaluating a Pilot Program's Effect on Self-perception of Readiness. JONA: The Journal of Nursing Administration. 2019;49(6):331-5.
18. Manning V, Jones A, Jones P, Fernandez RS. Planning for a smooth transition: evaluation of a succession planning program for prospective nurse unit managers. Nursing Administration Quarterly. 2015;39(1):58-68.
19. Barati O, Sadeghi A, Khammarnia M, Siavashi E, Oskrochi G. A qualitative study to identify skills and competency required for hospital managers. Electronic Physician. 2016;8(6):2458-65.
20. Kakemam E, Dargahi H. Competencies Gap in Hospital Management in Tehran, Iran: A Cross-sectional Survey. Journal of Health Management. 2019;21(4):451-64.
21. Kakemam E, Liang Z, Janati A, Arab-Zozani M, Mohaghegh B, Gholizadeh M. Leadership and Management Competencies for Hospital Managers: A Systematic Review and Best-Fit Framework Synthesis. Journal of Healthcare Leadership. 2020;12:59-68.
22. Malmoon Z, Tourani S, Maleki M, Jafari M. Future competencies for hospital management in developing countries: Systematic review. Medical Journal of The Islamic Republic of Iran (MJIRI). 2020;34(1):95-101.
23. Moradi F, Ziapour A, Abbas J, Baharirad N. Hospital Managers Skills Required and Onward Challenges: A Qualitative Study. Journal of Education and Health Promotion. 2020;9(1):59-68.
24. Van Tuong P, Thanh ND. A Leadership and Managerial Competency Framework for Public Hospital Managers in Vietnam. AIMS Public Health. 2017;4(4):418-29.
25. Crawford CL, Omery A, Spicer J. An integrative review of 21st-century roles, responsibilities, characteristics, and competencies of chief nurse executives: A blueprint for the next generation. Nursing Administration Quarterly. 2017;41(4):297-309.
26. Meadows MT. New competencies for system chief nurse executives. JONA: The Journal of Nursing Administration. 2016;46(5):235-7.
27. Moghaddam NM, Jame SZB, Rafiei S, Sarem AA, Ghamchili A, Shafii M. Managerial competencies of head nurses: a model and assessment tool. British Journal of Nursing. 2019;28(1):30-7.
28. Bano Y, Omar SS, Ismail F. Succession planning best practices for organizations: A systematic literature review approach. International Journal of Global Optimization and Its Application. 2022;1(1):39-48.
29. Belasen A, Belasen AR. Value in the middle: Cultivating middle managers in healthcare organizations. Journal of Management Development. 2016;35(9):1149-62.
30. Shahhosseini V, Sebt M. Competency-based selection and assignment of human resources to construction projects. Scientia Iranica. 2011;18(2):163-80.
31. Haji A, Assadi M. Fuzzy expert systems and challenge of new product pricing. Computers & Industrial Engineering. 2009;56(2):616-30.
32. González García A, Pinto-Carral A, Sanz Villorejo J, Marqués-Sánchez P. Nurse Manager Core Competencies: A Proposal in the Spanish Health System. International Journal of Environmental Research and Public Health. 2020;17(9):1-15.
33. Ma H, Chihava TN, Fu J, Zhang S, Lei L, Tan J, et al. Competencies of military nurse managers: a scoping review and unifying framework. Journal of Nursing Management. 2020;28(6):1-11.
34. Pihlainen V, Kivinen T, Lammintakanen J. Management and leadership competence in hospitals: a systematic literature review. Leadership in Health Services. 2016;29(1):95-110.
35. Valdez R, Maldonado Y, Quevedo JA. Fuzzy Hardware Tool: An Adaptable Tool to Facilitate the Implementation of Fuzzy Inference Systems in Hardware. Electronics. 2023;12(13):2853.
36. Xu K, Sun W, Wang L, Yang Z, Wang J, Wang S, et al. Global sensitivity analysis of influence parameters in pitting corrosion behavior of 304 stainless steel using adaptive neuro‐fuzzy inference systems. Materials and Corrosion. 2021;72(5):805-15.
37. Amini Faskhoudi A. Application of fuzzy logic inference in regional planning and development studies. Quarterly Knowledge and Development. 2005;2(17):39-62[Persian].
38. Khorasani-gerdehkouhi M, Taheri SM, Cheraghi MA. Designing a competency model for middle-level nurse managers using the Fuzzy Delphi Method (FDM). Quarterly Journal of Hospital. 2022;21(1):52-65 [Persian].
| Files | ||
| Issue | Vol 12 No 1 (2025): Winter | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/npt.v12i1.17524 | |
| Keywords | ||
| succession planning; competency; nurse administrators; fuzzy logic | ||
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How to Cite
1.
Khorasani-Gerdehkouhi M, Taheri SM, Cheraghi MA. Designing a competency model for the succession of nursing managers, using the Fuzzy Inference System. NPT. 2024;12(1):38-54.
