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How to conduct research on burnout: advantages and disadvantages of a unidimensional approach in burnout research.

When conducting research on burnout, it may be difficult to decide whether one should report results separately for each burnout dimension or whether one should combine the dimensions. Although the multidimensionality of the burnout concept is widely acknowledged, for research purposes it is sometimes convenient to regard burnout as a unidimensional construct. This article deals with the question of whether and when it may be appropriate to treat burnout as a unidimensional variable, and presents a decision rule to distinguish between people high and low in burnout. To develop a guideline for obtaining a dichotomous measure of burnout, the scores on the Utrecht Burnout Scale (UBOS) of 44 well functioning individuals were compared with the scores of 29 individuals diagnosed as suffering from burnout. Based on these data, the authors recommend the "exhaustion + 1" criterion for research in non-clinical populations. Following this criterion, individuals can be considered as burnt out when they report, compared to a norm group, high emotional exhaustion, in combination with high depersonalisation or low personal accomplishment. The criterion may be used to estimate the percentage in a sample of individuals in a state of burnout.

Adult↗

[Burnout syndrome of human services professionals--doctors, nurses, caregivers, teachers and clerks (1). Maslach Burnout Inventory: factor structures for samples of human services professionals, and its relation with Zung's Self-rating Depression Scale (SDS)].

During the past decade, burnout syndrome has been widely discussed not only in the USA but also in Japan. To evaluate the state of "burnout," two major scales are available: the first is the Maslach Burnout Inventory (MBI) developed by C. Maslach and the other is the burnout scale by A. Pines. MBI is suggested to be independent of and incompatible with Pines' burnout scale, but, Pines' burnout scale is predominantly used in Japan, while both are used in the USA. Since hardly any studies of burnout using MBI have been made in Japan, we measured and analyzed MBI to evaluate the burnout state of doctors, nurses, caregivers, teachers and clerks who are engaged in "human services professions." The available data were subjected to factor analysis, reliability analysis and multiple regression analysis using Zung's Self-rating Depression Scale (SDS). The following results were obtained. 1) The factor analysis showed that the factor loading pattern was similar to that of Maslach's, but two different factors were emerged in addition to the standard factors in the intensity subscale. 2) In the relationship with the state of depression, burnout is closely related to depression but simultaneously has its own factors. This suggest that burnout is not a subtype of the depressive state.

Allied Health Personnel↗

[New proposals for evaluating burnout. The specific evaluation of professional medical burnout].

OBJECTIVE: To introduce the development and validation of the Medical Professional Burnout Syndrome Scale belonging to the Questionnaire on Medical Professional Burnout (QMPB). DESIGN: Descriptive and transversal study in two stages. Stage 1: analysis of the psychometric properties of the new questionnaire dealing with its construction validity (exploratory factorial analysis, internal consistency, and confirmatory factorial analysis). Stage 11: study of its convergent validity with the Maslach Burnout Inventory (MBI). SETTING AND PARTICIPANTS: Community of Madrid, Spain. Stage I: 485 doctors (primary care centres and hospitals). Stage II: new sample of 100 doctors (primary care centres). MAIN MEASUREMENTS: Professional burnout through the Medical Professional Burnout Syndrome Scale and the Maslach Burnout Inventory. RESULTS: The exploratory and confirmatory factorial analysis of the QMBP confirmed 3 factors that described medical professional burnout: Exhaustion, Distancing, and Loss of Hope, with an acceptable internal consistency. Convergent validity was confirmed with the MBI, especially in the Exhaustion dimension. CONCLUSIONS: Evaluation of psychometric properties confirmed the Medical Professional Burnout Syndrome Scale as a valid and specific instrument for studying burnout.

Burnout, Professional↗

Burnout in nursing staff: is there a relationship between depression and burnout?

OBJECTIVE: There is evidence that burnout may be a clinical entity with pathological stress reaction features related to the inability in finding pleasure from work. The purpose of this study was to investigate the relationship between burnout and depression. METHODS: The study took place in the general hospital AHEPA of Thessaloniki. All members of the nursing staff (in total 368 subjects) took part. The protocol was self-reported and anonymous, in order to obtain as valid data as possible and included the Maslach Burnout Inventory (MBI) to assess the level of burnout, the Eysenck Personality Questionnaire (EPQ) to assess personality traits, and the Zung Self-Rating Depression Scale to assess depressive symptomatology. RESULTS: The analysis revealed a weak but significant relationship between burnout and depression. CONCLUSIONS: Depression is a pervasive disorder that affects almost every aspect of the patient's life. On the contrary, burnout is, by definition, a syndrome restricted to the patient's professional environment. However, it seems that there may be two distinct types of burnout syndromes, of which the one comprising the majority of nurses has little or no common features with depression. The second type consists of individuals with a predisposition to develop burnout. The latter is characterized by more severe symptomatology, phenotypic similarity to depression and presumably common etiological mechanisms.

Adult↗

Burnout in direct care staff in intellectual disability services: a factor analytic study of the Maslach Burnout Inventory.

BACKGROUND: There is gathering research interest in the well-being of staff working in services for people with intellectual disability (ID), including the assessment of burnout and its correlates. However, no previous studies have considered the applicability of the main three dimensions of burnout to staff in ID services. METHODS: Data were analysed from two samples of staff (total n=184) who participated in research studies that included completion of the Maslach Burnout Inventory (MBI). RESULTS: Nineteen of the MBI items loaded clearly onto factors closely resembling the three original subscales: emotional exhaustion, depersonalization and personal accomplishment. Internal consistency for the three MBI subscales was fair to good (range 0.68-0.87). CONCLUSIONS: The original three MBI dimensions were found to be highly relevant to the present sample of staff. The analyses support the construct validity and reliability of the MBI for staff in ID services.

Adult↗

[Professional burnout: concept and critique of the burnout process, value of exploratory research in a prison milieu].

The aim of this study is to suggest a critical analysis of burnout. In France, empirical studies devoted to the concept of burnout seem to be mainly focusing health on the professionals. However, a double limit persists. Firstly, the low number of current French publications. Secondly, the soundness of the theoretical models which consider the cognitive perception of subjects towards organizations. The analysis of theoretical issues confirms the considerable deficit of exploratory studies with correctional officers. Finally, we underline the interest to carry out an exploratory study applying to the subjects in order to release: sources of dissatisfaction related to work, their biopsychosocial consequences, in particular external constraints related to work, determinants of socialization and burnout.

Burnout, Professional↗

Using the Maslach Burnout Inventory to assess educators' burnout at a university in South Africa.

Use of the Maslach Burnout Inventory with 94 faculty members at the University of the Western Cape, South Africa is described. Analysis indicated that the inventory can be considered a reliable measure of burnout in this educational setting. Confirmatory factor analysis indicated that the factorial structure of the scale was similar to those previously reported for educational groups in North America. Multiple regression analysis also indicated the significant predictors of the components of burnout in the present study (role conflict, role ambiguity, participation in decision-making, and number of students) are similar to those previously identified.

Adult↗