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

Abstract

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.

Prevalence and factors associated with burnout syndrome in Peruvian health professionals before the COVID-19 pandemic: A systematic review

“…Therefore, some studies may not be directly comparable. However, to reduce this heterogeneity and to make the studies more comparable, our systematic review only includes research using the MBI, which is the most widely used instrument for measuring BS worldwide [ [69] , [70] , [71] ]. Sixth, we only considered the use of the MBI, but other instruments allow the assessment of BS that assesses aspects other than the three traditional dimensions of the MBI.…”

Prevalencia y factores asociados del síndrome de burnout en el personal de salud que labora en pediatría y neonatología

“…A survey was used: Maslach Burnout Inventory Human Services (MBI-HSS). The MBI-HSS questionnaire was validated for the Spanish language [2]. The 22-question test, validated using a Likert-type frequency scale, which rates 7 degrees, from 0 (never) to 6 (always), gives a result from 0 to 132 points.…”

“…Maslach published a form taking the results of the participants who were faced with various situations in their lives, be it work or daily, assessing three fundamental dimensions of the syndrome studied; therefore, he obtained as results: the Lack of Personal Realization (FRP) the Depersonalization (D) or Inhumanization and Emotional Exhaustion (AE); that is, being treated as a three-dimensional conglomerate of behaviors; when encountering situations such as decreased academic and physical performance, evasion of responsibility, passive-aggressive behaviors with users of professional services and a significant loss of motivation, which include both internal characteristics (social and individual values and personal attributes of personality) as well as external (work, group, integrative, and organizational) [2].…”

Síndrome de Burnout en odontólogos de Centros de Salud de Acapulco, México

“…Los 22 ítems restantes abordaron el Inventario Maslach-Burnout (MBI) traducido al español, ya validado en personal de salud (alfa de Cronbach del 70%) 13 , 14 y con respuestas categóricas de Likert. Los encuestados valoraron la intensidad con la que experimentan sus sentimientos en una escala de 7 puntos que va de 0 (nunca) a 6 (todos los días) en las tres dimensiones (agotamiento emocional, despersonalización y realización personal).…”