PubMed · 15002191
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Steph Jordan. 2004. Making the break.. https://pubmed.ncbi.nlm.nih.gov/15002191/
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OBJECTIVE: To assess the factorial validity and internal consistency of the Maslach Burnout Inventory (MBI-HSS). METHODS: In a sample consisting of 705 Spanish professionals from diverse occupational sectors (health, education, police and so one), seven plausible factorial models hypothesized were compared using LISREL 8. RESULTS: The four-factor oblique solution and the three-factor oblique solution showed the best and similar fit. Deletion of Item 12 and Item 16, taking into consideration the suggestions in the manual, improved the goodness of fit for both models. The four-factor oblique model suggests that, in addition to Emotional Exhaustion (EE) and Depersonalization (DP), Personal Accomplishment (PA) consists of two components labeled here Self-Competence (Items 4, 7, 17, and 21) and the Existential Component (Items 9, 12, 18, and 19). However, the alpha coefficient was relatively low for the Self-Competence component, suggesting that it is more suitable to estimate the syndrome as a three-dimensional construct. The Cronbach's alpha was satisfactory for PA (alpha =.71) and EE (alpha =.85), and moderate for DP (alpha =.58). CONCLUSIONS: The results show that the MBI-HSS offers factorial validity and its scales present internal consistency to evaluate the quality of working life for Spanish professionals.
The purpose of this study was to obtain a deeper understanding of how nurses experience long lasting stress and burnout. Of central interest were professionalism and especially patient-nurse relations. Open interviews were analysed according to the Grounded Theory methodology. Participants were 10 nurses (age 30-61) from different care institutions. They had experienced long lasting stress and burnout, which led to absence from work for two or more months. The main core emerging from the data was the powerlessness in influencing the valuation of the work of nurses. It reflects the process of decision-making, in particular in the context of reorganizations that often occur without considering the knowledge and experience of nurses, although decisions are affecting their daily work in a significant way. The patient-nurse relationship was experienced by the participants as an important part of care. The importance given by nurses to their relationship with patients was not diminished by tiredness, but they did not to have the power to meet patients and secure quality of care. The solution to this situation was to go off sick and leave the work place.