Confirmatory factorial analysis of the Maslach Burnout Inventory – Human Services Survey in health professionals in emergency services

Pereira, Sandra de Souza; Fornés-Vives, Joana; Rojas, Sara Unda; Pereira-Junior, Gerson Alves; Juruena, Mário F.; Cardoso, Lucilene

doi:10.1590/1518-8345.3320.3386

Cited by 23 publications

(20 citation statements)

References 21 publications

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“…Our figures were very similar to the internal consistency coefficients reported by Maslach et al [4] (0.90 for EE, 0.79 for DP, and 0.71 for PA). Similar results were also found in other studies [16,[33][34][35][36], even in those carried-out in other countries [14,15,17,[37][38][39][40][41][42], indicating that the scale maintains its validity despite crosscultural differences [12,15]. Although EFA showed a bit complex factorial structure splitting the MBI subscales in different factors, we think that our findings also confirm the three-dimensional factorial structure underlying the MBI-HSS as proposed by the original Maslach's model [4], as well as in other studies in which the factorial structure found as in the original version was maintained [15-17, 33, 36, 40, 42].…”

Section: Discussionsupporting

confidence: 92%

“…Several studies have been published carrying out exploratory and/or confirmatory analyses of the factorial structure of the MBI in different professional groups [12]. Although the studies carried out with health professionals have focused mainly on nursing professionals, both emergency and non-emergency nursing care [13,14], even exploring differences between countries [15], there are also some studies including physicians [16], and including all emergency professional profiles [17]. But we are not aware of any study exploring the factorial validity of the MBI-HSS in a cohort of urgency healthcare professionals in Spain.…”

Section: Introductionmentioning

confidence: 99%

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Factor structure of the Maslach Burnout Inventory Human Services Survey in Spanish urgency healthcare personnel: a cross-sectional study

Forné

Yuguero

2022

BMC Med Educ

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Background The Maslach Burnout Inventory (MBI) is an instrument commonly used to evaluate burnout syndrome. The goal of the present study was to assess the internal reliability and the performance of the items and the subscales of the MBI-HSS (the version for professionals working in human services) by validating its factorial structure in Spanish urgency healthcare personnel. Methods Cross-sectional study including 259 healthcare emergency professionals (physicians and nurses) in the Spanish health region of Lleida and the Pyrenees. Burnout was measured using the Spanish validated version of the MBI-HSS. Internal reliability was estimated using Cronbach’s alpha coefficient. The sampling adequacy was assessed using the Kaiser-Meyer-Olkin measure along with the Bartlett’s test of sphericity. A principal axis exploratory factor analysis with an oblique transformation of the solution and a confirmatory factor analysis with maximum likelihood estimation were performed. Goodness-of-fit was assessed by means of the chi-square ratio by the degrees of freedom, the standardized root mean square residual (SRMR), the root mean square error of approximation (RMSEA), the Tucker-Lewis Index (TLI) and the comparative fit index (CFI). Results The three subscales showed good internal reliability with Cronbach’s alpha coefficients exceeding the critical value of 0.7. Exploratory factor analysis revealed five factors with eigenvalues greater than 1. Nevertheless, confirmatory factor analysis showed a relatively satisfactory fit of the three-factor structure (χ2/df = 2.6, SRMR = 0.07, RMSEA = 0.08, TLI = 0.87, CFI = 0.89), which was improved when several items were removed (χ2/df = 1.7, SRMR = 0.04, RMSEA = 0.05, TLI = 0.97, CFI = 0.98). Conclusions Although it is necessary exploring new samples to get to more consistent conclusions, the MBI-HSS is a reliable and factorially valid instrument to evaluate burnout syndrome in health professionals from the Spanish emergency services.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Factor structure of the Maslach Burnout Inventory Human Services Survey in Spanish urgency healthcare personnel: a cross-sectional study

Forné

Yuguero

2022

BMC Med Educ

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“…Burnout was measured using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) (Pereira et al 2021;Maslach and Jackson 1981). The instrument has 22 selfcompletion items, divided by three dimensions: emotional exhaustion, measured with nine items; depersonalization, measured by five items; and personal fulfillment, measured by eight items.…”

Section: Methodsmentioning

confidence: 99%

The Role of Resilience in Reducing Burnout: A Study with Healthcare Workers during the COVID-19 Pandemic

Ferreira

Gomes

2021

Social Sciences

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Although burnout is a widely studied topic, there is still much to learn about this symptom during a pandemic crisis like the one caused by COVID-19. Moreover, and according to the Job Demands-Resources (JD-R) theory, the relation between personal resources and burnout is still an understudied topic. The main goal of this research is to understand the influence of mental resilience on the three dimensions of burnout-emotional exhaustion, depersonalization and personal achievement-among healthcare workers when exposed to a pandemic situation. A cross-sectional study was conducted based on the administration of an online survey to a sample of 196 healthcare workers (nurses and doctors) during the second wave of COVID-19 in Portugal. Hypotheses were tested using Partial Least Squares. The results show that during a pandemic situation, higher levels of resilience associated both with lower levels of emotional exhaustion (Emotional Exhaustion: −0.17; 95% Confidence Interval–CI: −0.38, 0.04) and depersonalization (Depersonalization: −0.17; 95% CI: −0.31, −0.03), and higher levels of personal achievement (Personal Achievement: 0.50; 95% CI: 0.40, 0.61). Resilience should be considered an important asset for reducing levels of burnout when facing highly stressing situations. The main contribution of this research is related to the role of personal resources as an inhibitor of negative consequences of job strain, such as burnout. The findings add new knowledge to the topic of fighting (not just understanding) burnout in deeply stressful situations, like the COVID-19 pandemic, reinforcing the importance of developing personal resources. Resilience skills may be developed, thus reducing the risk of burnout.

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“…After answering, each participant returned the sealed envelope, without their names, preserving their anonymity. Each participant received an envelope with a questionnaire composed of demographic variables, occupational variables, information on the impact of the COVID-19 pandemic on their day-to-day life (insomnia, lack of appetite, irritability, decreased libido, fear of being infected, fear of infecting loved ones, overspending) and the Maslach Burnout Inventory (MBI) questionnaire,17 18 translated and transculturally validated for Portuguese in Brazil, which has acceptable psychometric properties when compared with its original version in English 6 19. The full questionnaire (translated to English) can be found in the online supplemental material.…”

Section: Introductionmentioning

confidence: 99%

Burnout syndrome in intensive care physicians in time of the COVID-19: a cross-sectional study

et al. 2022

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ObjectivesTo assess the prevalence of burnout syndrome among intensive care physicians working in a tertiary private hospital as well as their perceived impact of the COVID-19 pandemic on their life.DesignA cross-sectional study.SettingIntensive care units dedicated to the care of COVID-19 in Hospital Sirio-Libanes, Sao Paulo, Southeastern part of Brazil.ParticipantsIntensive care physicians.InterventionsEach participant received an envelope with a questionnaire composed of demographic and occupational variables, information related to their personal and professional experiences facing the COVID-19 pandemic and the Maslach Burnout Inventory questionnaire.Primary and secondary outcomes measuresThe primary outcome was to assess the prevalence of burnout syndrome among physicians working in an intensive care unit dedicated to the care of COVID-19.ResultsA total of 51 from the universe of 63 (82%) intensive care physicians participated in the study. Nineteen (37.2%) met the criteria for burnout syndrome. In the three domains that characterise burnout syndrome, we found a low level of personal achievement in 96.1% of physicians interviewed, a high level of depersonalisation in 51.0% and 51.0% with a high level of emotional exhaustion. Decision-making conflicts between the intensive care unit team and other attending physicians were frequent (50% of all conflicts). A third of the participants had been diagnosed with COVID-19, 22 (43.1%) reported having a family member infected and 8 (15.7%) lost someone close to the COVID-19 pandemic. Participants felt that fear of infecting their loved ones was the aspect of their lives that changed most as compared with the prepandemic period.ConclusionsBurnout syndrome was frequent among intensive care unit physicians treating patients with COVID-19 in a large tertiary private hospital. Future studies should expand our results to other private and public hospitals and test strategies to promote intensive care unit physicians’ mental health.

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Confirmatory factorial analysis of the Maslach Burnout Inventory – Human Services Survey in health professionals in emergency services

Cited by 23 publications

References 21 publications

Factor structure of the Maslach Burnout Inventory Human Services Survey in Spanish urgency healthcare personnel: a cross-sectional study

Factor structure of the Maslach Burnout Inventory Human Services Survey in Spanish urgency healthcare personnel: a cross-sectional study

The Role of Resilience in Reducing Burnout: A Study with Healthcare Workers during the COVID-19 Pandemic

Burnout syndrome in intensive care physicians in time of the COVID-19: a cross-sectional study

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