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Mohamad Fahiminia, Elham Taherian, Abolfazl Mohammadbeigi,
Volume 14, Issue 1 (6-2015)
Abstract

Background: Hospitals have been known as main water consumers .Moreover ,  the amount of their produced  wastewater and contamination is much more than domestic subscribers. Hospital waste management has recently emerged as an issue of major concerns but wastewater produced has not received sufficient attention. As there is a separate source of drinking water from that of sanitary usage in hospitals of Qom, surveying the consumption  of water and the amount of  produced wastewater will provide a lot of information in order to estimate amount of water requirement and wastewater produced in the hospitals

Materials and Methods: The amount of water consumption in hospitals had been collected from the year of 2008 to 2013. Collected data and conversion ratio of water to wastewater had been used for estimating the amount of wastewater. The data was analyzed by SPSS 19 software. Pearson correlation test was used to determine the relationships between variables. By identifying strengths and weaknesses of current system , appropriate interventions for better management of water and sewage systems were presented.

Results: The average of water consumption was found to be 655.7 liter per day per bed and 8.6 liters  per square meter of substructure area among all eight hospitals surveyed.There was a statistically meaningful relationship between consumed water in hospitals and substructure area (p<0.05).The average quantity of wastewater produced was estimated as 567.6 liter per day per bed. The main method of wastewater disposal is discharge in an absorbing well.

Conclusion: In order to improve the current situation of  mentioned  hospitals, reconstructing water and wastewater facilities , using  wastewater treatment packages and connecting waste water of hospitals to systems of wastewater collection of city seems inevitable.


Marzieh Khorasani-Gerdehkouhi, Seyed Mahmoud Taheri, Mohammad Ali Cheraghi,
Volume 21, Issue 1 (5-2022)
Abstract

Background: Identification of competencies is necessary base for a succession plan and efficient human resource management. Studies show that this important issue has been neglected by using the competency model at the middle-level nurse managers.
Since, the methods based on fuzzy logic provide the possibility of mathematical formulation of ambiguous concepts, such as competence. The aim of this study was to design a competency model for middle-level nurse managers using FDM in the second half of 1399.
Materials & Methods: This study was conducted according to health system management studies. The population included all managers of nursing services (matrons) of hospitals affiliated to Tehran University of Medical Sciences. Census sampling used and research samples included 14 nursing service managers (as experts). After reviewing literatures, an initial conceptual model was designed. In the following, two next steps were conducted as a survey form was used to receive the opinions of experts confirming the model leveling. In the second step, the indicators were screened using the FDM.
Results: All participants were female and 9 people had a master degree. The experts' agreement with the model leveling was 90%, which indicated that it was approved. In FDM, the indicators with crisp values higher than 0/7 were confirmed by experts. The design model consisted of 3 dimensions technical, relational, perceptual, 6 components, 14 indicators and 28 sub-indicators.
Conclusion: This study showed that the criteria for selecting middle-level nurse managers include various dimensions of competence including technical, relational and perceptual. Senior managers can use the results of this research to achieve an appropriate planning for succession plan.

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