Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis

Barton, Melissa A.; Lall, Michelle D.; Johnston, Mary M.; Lu, Dave W.; Nelson, Lewis S.; Bilimoria, Karl Y.; Reisdorff, Earl J.

doi:10.1002/emp2.12797

Cited by 14 publications

(11 citation statements)

References 51 publications

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“…The CBI has also been the basis for more abbreviated measures to assess burnout in ED residents. 32 Each question in the CBI is scored on a five-point Likert scale ranging from 100 (always/to a very high degree), 75 (often/to a high degree), 50 (sometimes/ somewhat), 25 (seldom/to a low degree) to 0 (never or almost never/to a low degree). Total score in each domain is the average of the scores on the items within.…”

Section: Methodsmentioning

confidence: 99%

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Burnout in emergency department personnel—A continuing concern post pandemic

Tan,

Pek,

Wong

2024

Hong Kong j. emerg. med.

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IntroductionHigh incidences of burnout has been reported amongst emergency department (ED) personnel during the COVID‐19 pandemic. Emerging from the pandemic, organisational support for psychological health may dwindle and become secondary to economic priorities. We aimed to ascertain the level of burnout within ED staff at our hospital, identify professional groups, which were more vulnerable and domains, which contributed most towards burnout.MethodsWe conducted a cross‐sectional study approximately 8 months after major moves to remove COVID‐19 restrictions in Singapore. Data was collected via a self‐administered survey employing the Copenhagen Burnout Inventory (CBI). Demographics, occupational details, work satisfaction and motivation to stay in the job were also collected and analysed.ResultsA total of 115 ED staff participated. Overall CBI score was 62.3 ± 22.0. Scores for personal, work‐related and client burnout were 64.9 ± 23.2, 61.6 ± 23.1 and 60.4 ± 26.1, respectively. A total of 44.5% had to take medical leave because of burnout. Nurses had higher overall CBI scores than doctors (67.5 ± 20.5 vs. 54.6 ± 23.0, p = 0.01). Those who were satisfied with their present job had lower overall CBI scores compared to those not satisfied (42.7 ± 17.9 vs. 84.0 ± 14.4, p < 0.001). Overall CBI scores were also lower in those motivated compared with those not motivated to continue in their current job (50.1 ± 16.3 vs. 79.0 ± 15.1, p < 0.001).ConclusionED staff continue to record high rates of burnout as we transit out of the pandemic. Accompanying rates of medical leave and low levels of motivation to remain in the job are serious occupational health concerns. Factors contributing to burnout in at risk groups such as nurses should be further analysed. High mean CBI scores in the personal and work domains indicate that related factors contribute most towards burnout and interventions should be focused accordingly.

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Section: Methodsmentioning

confidence: 99%

“…Comparison of results across different domains of the CBI was important, given the intent of our study. The CBI has also been the basis for more abbreviated measures to assess burnout in ED residents 32 …”

Section: Methodsmentioning

confidence: 99%

Burnout in emergency department personnel—A continuing concern post pandemic

Tan,

Pek,

Wong

2024

Hong Kong j. emerg. med.

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“…The CBI has been previously validated and applied in multiple studies surveying burnout among resident physicians. 18,19 Post-Intervention Survey…”

Section: Pre-intervention Surveymentioning

confidence: 99%

QR-code Cards for Residents: A Novel Method for Post-ED Visit Follow-up and Reducing Burnout

Peng,

Simmons,

Villars

et al. 2024

Preprint

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Objective: There is no formal expectation for emergency medicine (EM) residents to follow up on a particular patient after discharge, and it is unknown how residents perceive further contact outside of an Emergency Department (ED) visit. We hypothesize that standardized, dynamic-QR-code embedded cards (“Follow-up Cards”) handed out by residents to patients would provide a means to communicate and follow-up. For select patient encounters, we further hypothesize that residents may derive greater personal accomplishment and meaning from their clinical duties after this intervention. Methods: This was a prospective cohort observational study of 86 residents surveyed on perceptions of follow-up outside of the ED visit as well as the baseline level of burnout using the Copenhagen Burnout Inventory (CBI). Four months after the intervention of “Follow-up Cards”, we reassessed the CBI, quantified the utility of cards via QR code statistics, and surveyed residents’ feedback. Results: There was a 92% response rate to the pre-intervention survey and high internal consistency (𝛼 coefficient = 0.70—0.79) for the 3 domains of the CBI. In terms of perceptions of follow-up, 58.2% deemed it moderately important, 41.8% felt positive about patient communication after an ED visit, and most residents valued learning about the eventual clinical course. Card distribution per resident ranged from 0 to 11 over 4 months. Among interns, patient-related burnout was almost significantly lower after the intervention (27.1 vs 39.3, p = 0.06). “Follow-up Cards” were uniquely scanned by patients 147 times over the 4 months. The primary barriers cited against follow-up were lack of time and increased workload (combined, 75.8%). Conclusions: “Follow-up Cards” were demonstrated in this study as a proof-of-concept and feasible means of patient-physician contact after an ED visit. While follow-up communication was found to be relatively rare overall, there is potential for enriching certain patient encounters.

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“…[38] The CBI assesses three areas that include: personal burnout, work burnout, and patient burnout. [39] The ProQOL measures the negative and positive effects of working with those who have experienced traumatic stress and has sub-scales for compassion satisfaction, burnout, and compassion fatigue. [40] In addition to the outcome of burnout, the articles included contributors to burnout including compassion fatigue, secondary traumatic stress, professional quality of life, life balance, mattering, resiliency, and well-being.…”

Section: Burnout Characterizationmentioning

confidence: 99%

An integrative review of burnout and related concepts in nursing faculty

D'Aoust,

Sarver,

Swoboda

et al. 2023

JNEP

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Introduction: It is essential to support the health and well-being of nursing faculty. Nurse well-being is imperative for promoting many outcomes in health care and education. In the presence of workplace stressors, nursing faculty may experience negative impacts, including burnout. This integrative review explored the literature on burnout and related concepts in nursing faculty.Methods: An integrative review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram was performed. Articles were identified from databases, including PubMed and CINAHL Plus, citation searching, and content expert referral. Key search terms included “nursing faculty”, “burnout”, and “nursing education”. 102 articles were identified and screened for established inclusion criteria and 23 were included in this review.Results: A total of 23 articles exploring burnout and other related concepts in nursing faculty were appraised. Emergent themes encompassing contributing factors, manifestations, impact, and strategies for decreasing faculty burnout and increasing faculty well-being are illustrated in this review. Although a variety of individual and organizational strategies for decreasing burnout were emphasized in the literature, multiple gaps were identified. These gaps include 1) lack of comprehensive programs to address faculty burnout, 2) integration of skills and practices into nursing education curricula, 3) impact of interventions on educational outcomes, 4) assessments examining faculty needs, and 5) absence of best practices replicated in nursing education.Conclusions: It is imperative to explore a comprehensive approach to decreasing burnout and supporting faculty and student well-being in nursing education and examine methodological challenges in defining related concepts and measures.

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Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis

Cited by 14 publications

References 51 publications

Burnout in emergency department personnel—A continuing concern post pandemic

Burnout in emergency department personnel—A continuing concern post pandemic

QR-code Cards for Residents: A Novel Method for Post-ED Visit Follow-up and Reducing Burnout

An integrative review of burnout and related concepts in nursing faculty

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