{'fraction_non_alphanumeric': 0.0333788628990951, 'fraction_numerical': 0.018524842069318762, 'mean_word_length': 4.706283487579152, 'pattern_counts': {'":': 0, '<': 1, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Testing the Validity of Proposed Model for Measuring the Crisis Management in the Central Tripoli Hospital-Libya “ Using Confirmatory Factor Analysis ”

The current study attempts to develop a conceptual framework as a measurement of crisis management in health institutions by adopting its management methods as dimensions appropriate for measuring such crisis (transforming the crisis, tactical reserve, fragmenting the crisis, facing the crisis and containing the crisis). To achieve this research aim, the study applied a confirmatory factor analysis (CFA) using Amos. Based on the results, the study found that the model is a valid and reliable measurement of crisis management.


Introduction
The current study focused its aim on developing a conceptual framework for crisis management, going beyond the traditional view that describes crisis as an event which is destructive or influential on the organization as a whole to the strategic view that describes crisis as a defining moment and a turning point for the better or the worse. The research addressed characteristics that distinguish a crisis from a catastrophe and a disaster in addition to the multiple levelpractices used for managing it. The present study also went beyond or exceeded the conventional classifications of single basis crisis, thus approaching crisis from its modern or recent classifications which rely more on solving it through methods that turn it into positive to disposal. And since the crisis results into several other accompanied crises at the same time, all of them need to be managed at one time. This study also highlighted the most important crisis which is the crisis in the hospital management that relies on the psychological side and is associated with humanitarian matter. It can be handled through its main methods of management, which are summarized as the followings (Augustine, 1995):

Track the Crisis
This method deals with the crises that are difficult or complicated to be faced by containing such crisis, absorbing or comprehending its consequences, bowingdown it, admitting its causes and then overcoming it and addressing its secretions/components and consequences in a way that leads to reducing its risks. Thus, according to this technique or method, the crisis manager should work in convincing those creators of such crisis or those people who create this crisis, luring and attracting them to turn their destructive capabilities into other positive paths.

Reserve the Crisis
According to this technique or way of crisis management, weaknesses and sources of crises are identified, and preventive tactical reserves are that can be used when a crisis emerges or occurs are formed. This method is often used in industrial organizations in the event of a crisis especially in raw materials or a lack of liquidity (Boin,2007).

Fragmenting the Crisis
This method is known as the best and most preferable method especially when the crisis is severe and dangerous. It also relies or depends on studying all aspects of the crisis to form a better understanding and knowledge of the powers that constitute up the alliances of the crisis and to determine a framework of the conflicting interests and the potential benefits of the members of these alliances. Following this striking them by creating leaders and finding gains of these trends that are conflicting with continued crisis alliances. By so doing, the major crisis turns into small fragmented crises.

Confrontation the Crisis
It is known as one of the most difficult non-traditional ways of dealing with crises and therefore, it is called the method of violent confrontation. This method is often used in case of lack of information or in the case of an existing certainty that there is no alternative.

Containing the Crisis
This method depends on scoping the crisis in a very narrow and limited range. Examples of such crises are labor crises where dialogue and understanding method is used with the leaders of those crises. Thus, this method means scoping or limiting the crisis in a narrow and limited scope and fixing it at the stage where it reached while at the same time, working hard to absorb and assimilate the pressures causing such crisis, thus, making it lose its destructive power.

Research Objectives
The current study aimed to test the validity of a proposed model for measuring Crisis Management in the Central Tripoli Hospital-Libya

The Study Population
The population of the current study is represented by managers of departments and their assistants as well as heads of departments and administrative units in the Central Tripoli Hospital in Libya. Due to the small study population, the researcher adopted a total population sampling (the entire population) which is estimated (565) individuals, but after distributing the survey to the study population, retrieval and examination of it, it was found that the number is (413) which represents the valid returned questionnaires used for the data analysis.

Research Instruments
In this regard, it is relied upon the questionnaire as a tool to gather the necessary information for this study as one of the most suitable scientific research tools that achieve the survey study objectives and to obtain information and facts associated with a determined reality, for achieving the study, a questionnaire is made for the purposes of processing the studying test the validity of a proposed model for measuring Crisis Management.

Confirmatory Factor Analysis
In order to test the validity constructs and the research hypotheses

3.4Construct Validity
According to Hair,Black,Babin, Anderson and Tatham (2006) the employment of factor loading composite reliability (CR) and average variance extracted (AVE) to determine the convergent validity if it equals to or greater than 0.5 (≥0.5) and the composite reliability equals to or greater than 0.7 (≥0.7) if were recommended by Hair et al.(2006). Also, (AVE) reading values should be greater than 0.5 (≥0.5) (Fornel and Larker,1981).

The Modified Model
From Figure (1) that shows the results of the (CFA) for the proposed model for measuring Crisis Management, it is evident that the model is free of the illogical correlation since it reaches or exceeds the integer (1). This also indicates that there is not any problems in the (CFA) used for testing the validity of this model that comprises five factors: The first factor including the Containment the Crisis, the second factor including the Reserve the Crisis and the third factor containing the Track the Crisis, the fourth factor containing theFragmentation the Crisis, the fifth factor containing the Confrontation the Crisis. As seen in Figure (1) and Table (1), the indicators of agreement between the model and the data exceeded the T-value, thus, implying that there is disagreement between Crisis Management and the data of the sample since the value of the Chi-Square was (1541.949) and the degree of freedom was (289), and the level of significance was (P=.000). In addition, we can see that the normative Chi-Square (Chi-Square /degrees of freedom) was (5.335) being higher than (5), and the value of relative strength index (CFI) was (.855) less thanthe T-value (.90). The results also show that the value of the index (RMSEA) error square was (.103) being higher than (.080). Due to this contradiction between the model and the data, it was necessary to modify the Crisis Management model in this study. In order to modify this model, we followed was deleting (Q22-Containment).In addition to linking some of the items according to what is shown in Figure (2). And to what Amos confirmed by analysis of Amos.

Confirmatory Factor Analysis of the Crisis Management model
The results of the goodness-of-fit of the final revised of the Crisis Management model showed that normed chi-square (CMIN/DF) was (3.591); the (CFI) was (.917) and Rmseawas (.079). Figure (2) shows the adequacy of the final revised of the Crisis Management model.

4.3.1Track the Crisis:
In the present study, lodging for the parameters factor ranged from 0.64 to 0.90, with all parameters were above 0.5 (≥0.5). The reliability was greater than 0.7 (≥0.7), it ranged from 0.96 to 0.97. In addition, the AVE reading was 0.64 where the value was greater than 0.5 (≥0.5). Consequently, all results fulfilled the AVE, and the reliability discriminant validity of the model. In general, The first Dimensionof the Crisis Management modelwas fit and fulfilled the construct as depicted in Table (2). 41 .

Reserve the Crisis
In the current study, the lodging for the parameters factor ranged from 0.60 to 0.86, with all parameters were above 0.5 (≥0.5). And the reliability was greater than 0.7 (≥0.7), it ranged were 0.96. In addition, the AVE reading was 0.62 where the value was greater than 0.5 (≥0.5). Consequently, all results fulfilled the AVE, and the reliability discriminant validity of the factor. In general, the secondDimensionof the Crisis Management modelwas fit and fulfilled the construct as depicted in Table (3).

Fragmentation the Crisis
In this study, the lodging for the parameters factor ranged from 0.67 to 0.89, with all parameters were above 0.5 (≥0.5).
The reliability was greater than 0.7 (≥0.7), it ranged were 0.96. In addition, the AVE reading was 0.63where the value was greater than 0.5 (≥0.5). Consequently, all results fulfilled the AVE, and the reliability discriminant validity of the Dimension. In general, the third Dimension ofthe Crisis Management modelmodel was fit and fulfilled the construct as depicted in Table (4).  45 .

Confrontation the Crisis
In the present study, the lodging for the parameters factor ranged from 0.65 to 0.77, with all parameters was above 0.5 (≥0.5). The reliability was greater than 0.7 (≥0.7), it ranged were 0.96. In addition, the AVE readings was 0.53 where the value was less than 0.5 (<0.5). In general, the fourth Dimension ofthe Crisis Management model model was fit and fulfilled the construct as depicted in Table (5).  57 .

Q21
The administration of the hospital is trying to draw the public's attention to a topic different from the topic of crisis that often tends to be positive 58 .

Q22
The way the administration of the hospital deals and directs a crisis is more dominated by the mental side than the emotional side 68 . -

Q25
The administration of the hospital usually provides a sufficient inventory of requirements

Conclusion
The current study aimed to test the validity of a proposed model for measuring Management Crisis in the Central Tripoli Hospital-Libya. The proposed model included Management Crisis as a potential variable that is realized through five apparent factors(transforming the crisis, tactical reserve, fragmenting the crisis, facing the crisis and containing the crisis). To achieve this research aim, the researcher carried out a (CFA) by using the Amos program (Amos .21). This was test the validity of the model that can be used for measuring the Crisis Management. Based on the results of the analysis and the outputs of the Amos in Figure  (1) and Table (1), it is evident that there is disagreement between the model and the data, which emphasizes the need to modify the model. After the model modification as illustrated by Figure (2) and Table (2), there was a match between the model and the sample data based on the goodness of fit indices. Moreover, the average variance extracted (AVE) of all the factors was higher than the standard test factors (.50). Therefore, it can be concluded that the proposed model in this study has both convergent and discriminate validity, which implies that the model is valid and reliable to be used for measuring of Management Crisis.