The maslach burnout inventory mbi has been the most widely used questionnaire in the evaluation of burnout. We investigated hypothesized risk and resilience factors and their association with burnout in first year medicine and psychiatry residents at an urban teaching hospital in order to help guide the development of interventions targeted at reducing burnout. Jcm free fulltext the abbreviated maslach burnout inventory. We administered the maslach burnout inventory mbi, perceived stress scale 10, functional assessment of chronic illness therapyfatigue. Pediatric resident burnout and attitudes toward patients. Valid and reliable survey instruments to measure burnout. Each doctor filled in a questionnaire, which included the maslach burnout inventory mbi and the jefferson scale of empathy jse. Using a single item to measure burnout in primary care. Maslach burnout inventory human services survey for medical.
However, little is known about potential predictors of burnout among gps. Resident burnout medical education and training jama. To explore the prevalence and association between impostorism and burnout. Burnout and depression are common among medical trainees and intensive care unit providers, negatively impacting both providers and patients. Two measures that have been used to assess this are the clance impostor scale cis and the maslach burnout inventoryhuman services survey mbihss. Christina maslach is professor emerita of psychology at the university of california at berkeley. Background burnout is very common in internal medicine residents. The maslach burnout inventory mbi is the accepted tool for measuring burnout. Valid and reliable survey instruments to measure burnout, well. The maslach burnout inventory and its relationship with staff. Exhaustion is identified through five items such as i feel burned out from my work. The maslach burnout inventory, the physician wellbeing index, and the harvard department of psychiatrynational depression screening day scale were used to measure burnout, distress, and depression, respectively. Patient care attitudes and behaviors were measured with 7 questions from a standardized qualitative survey.
Identify modifiable factorsthat increase or decrease the risk of developing burnout and promoting positive wellness factors. She identified six core dimensions for which there can be a significant mismatch between individuals and their workplace, which might. Use the maslach burnout toolkit to assess burnout within the worklife context. We measured burnout using the maslach burnout inventory human services survey, a 22item scale developed to assess burnout among professionals that work in emotionally taxing environments. Maslach burnout toolkit for medical personnel mind garden. The mbi assesses 1 emotional exhaustion, the state. Assessing resident wellbeing is becoming increasingly important from a programmatic standpoint.
Workplace burnout quiz from christina maslach and michael leitner, courtesy of scientific american. Effect of balint seminars training on emotional intelligence and burnout among internal medicine residents. In this paper we present the physician burnout questionnaire phbq, a new op. The maslach burnout inventorygeneral survey and the 38item chinese version of the scale for occupational stressors on clinicians were used. The current standard for measuring burnout is the maslach burnout inventory mbi 19. Burnout was measured using the maslach burnout inventory general survey schaufeli et al. Kathi j kemper, md, mph director, center for integrative. A brief instrument to assess both burnout and professional.
Validation of the mbigs via the internet 1 running head. Using a single item to measure burnout in primary care staff. Potential correlates of burnout among general practitioners. Job stress and burnout were prevalent, with more than a third of the respondents reporting that they were currently experiencing burnout. Maslach burnout toolkit for general use mind garden. What is new a multicenter survey of 9 emergency medicine programs assessed correlations of the mbi and 4 other published wellbeing instruments. Burnout and resiliency in canadian oncology residents. The correlation between the pfi professional fulfillment score and maslach burnout inventory personal accomplishment subscale score was 0. Only a few studies have examined burnout in canadian residents, and no multispecialty studies using the maslach burnout inventoryhealth sciences survey mbihss exist. The maslach burnout inventory and its relationship with. Comparing the maslach burnout inventory to other well. However, in both its theoretical formulation and its psychometric characteristics it poses some problems.
The mbihss and ambi were distributed amongst 86 residents across three hospitals, with a total. The main outcome measures included the prevalence of burnout with the maslach burnout inventory, distress with the perceived stress scale, and depression with the beck depression inventory. View or download all content the institution has subscribed to. We hypothesized that at the end of the pediatric intensive care unit picu rotation, there would be an increased prevalence of depression and burnout in pediatric residents when compared to the beginning. Differences in burnout prevalence between clinical. Measuring burnout symptoms is important, but the maslach burnout inventory mbi has 22 items. The burnout mean scores were 1142 sd 625 for emotional exhaustion, 810 485 for cynicism, and 2108 870 for reduced personal accomplishment. This study establishes the prevalence of burnout experienced by radiology residents in the new england roentgen ray society nerrs, demographic and programrelated factors associated with burnout, and relative degree of burnout in radiology residents compared with residents in other specialties, with the goal of helping program directors and. A wide range in burnout prevalence is reported in anesthesiology, so this study aimed to ascertain which of these two tools most accurately detected burnout in our anesthesiology residents. Compared to the maslach burnout inventory, the pfi burnout scale sensitivity and specificity in identifying those with burnout was 72% and 84%, respectively, and auc was 0. The maslach burnout inventory mbi is by far the most widely used, accepted, valid, and reliable measurement tool of stress and burnout. The maslach burnout toolkit combines the mbi with the areas of worklife survey aws to create an assessment to aid burnout prevention and remediation for human services professionals, medical personnel, educators, and for general professional use. The maslach burnout inventory and its relationship with staff transition in and out of the intellectual disability workforce presentation to the nzasid conference august 2426th, 2010, dunedin.
The 22 total items are broken up into the three themes with nine items relating to emotional exhaustion, five to depersonalization, and eight to accomplishment as shown in table 1. Frequency of burnout, sleepiness and depression in. The 16 items of the questionnaire are grouped into three scales. Despite an increase in interest in issues related to burnout in medical education and mandates from the national residency accrediting body, available literature is sparse in pediatrics, a medical discipline that requires special empathy and compassion, as well as enhanced communication skills to effectively care for children and their families. They tested their hypothesis on internal medicine residents using a survey containing the maslach burnout inventory mbi, a threequestion loneliness scale and a social connectivity component. High burnout rates linked to greater loneliness among residents. Stress has long been recognized as a main contributor to burnout in residents. Dec 27, 2016 we investigated hypothesized risk and resilience factors and their association with burnout in first year medicine and psychiatry residents at an urban teaching hospital in order to help guide the development of interventions targeted at reducing burnout. The maslach burnout inventory for healthcare professionals mbihss and its abbreviated version ambi, are the most common tools to detect burnout in clinicians. Job stress, burnout, worklife balance, wellbeing, and. We used the dutch version of the maslach burnout inventory ubosc to assess burnout and the dutch residency educational climate test drect to assess the learning environment. The 22item maslach burnout inventory mbi measures all 3 burnout dimensions through 7point likert scales indicating the frequency of characteristic symptoms and is the most commonly used measure in the medical literature. The maslach burnout inventory mbi is an introspective psychological inventory consisting of 22 items pertaining to occupational burnout.
Pdf the maslach burnout inventory for healthcare professionals mbihss and its abbreviated. Jackson with the goal to assess an individuals experience of burnout. What factors promote resilience and protect against burnout. Pdf comparing the maslach burnout inventory to other well. However, the mbi is proprietary and carries licensing fees, posing challenges to routine or repeated assessment. Crosstabulation of burnout assessed by the singleitem measure and the maslach burnout inventory emotional exhaustion scale, for the entire. The aim of this study was to explore psychosocial correlates of burnout among gps and residents in hungary.
Staff burnout scale, pines 1981 burnout measure, and the maslach burnout inventory mbi maslach and jackson, 1981. Download this helpful overview of the maslach burnout toolkit for. Burnout scale annals of internal medicine american. Burnout maslach burnout inventory hypothesis distress would be associated with greater educational debt, lower test scores and decreased learning quality of life, burnout, educational debt and medical knowledge among internal medicine residents 21,208 of the 22,2 us im residents completed the imite 95. Conclusions types of burnout are unevenly distributed in academic medical centres. Pdf the maslach burnout inventory manual researchgate. Physicians have higher risk of personal and patientclientrelated burnout, residents have higher risk of workrelated burnout, basic scientists are at higher risk of clientrelated burnout and nurses have higher odds of all three types of burnout. As you probably have experienced, your compassion for those you help has both positive and negative aspects. Comparing brief screening questions to the maslach burnout inventory. The maslach burnout inventory, the physician wellbeing index. Maslach burnout inventory mbi assessments, tests mind. In this study, we aimed to determine the levels of burnout in resident physicians, considering the duration of their work as residents, and to evaluate the relationship between burnout syndrome and variables such as sociodemographic features, education, sleeping habits, smoking and alcohol consumption. A total of 258 residents 53% response rate from 11 pediatric residency programs completed a cross. The aim of this study was to compare the levels of empathy and burnout between residents and specialists as well as to study the correlation between empathy and burnout.
Develop and test different interventions such as inperson seminars, online mindbody skills training, and individualized curricula such as global health electives to affect burnout. The maslach burnout toolkit, which combines the mbi with the areas of worklife survey aws, is a particularly powerful tool for assessing the workplace context and what attributes might be driving burnout. Burnout scale proqol riv professional quality of life scale compassion satisfaction and fatigue subscales revision iv helping people puts you in direct contact with their lives. Burnout is a prolonged response to chronic emotional and interpersonal stressors on the job. Burnout occurs in up to 75% of resident physicians. The residents reported on burnout maslach burnout inventoryhealth and social services, engagement utrecht work engagement scale and selfassessed patient care practices six items, two factors.
Dec 12, 2018 burnout is increasingly prevalent among general practitioners gps in hungary, which may lead to functional impairment and, subsequently, to poor quality of patient care. Burnout, engagement and resident physicians selfreported. The original form of the mbi was constructed by christina maslach and susan e. Comparing the maslach burnout inventory to other wellbeing instruments in emergency medicine residents. The prevalence of burnout varies between 25,4 and 71,4% and between 55,6% and 77,9% in, respectively, emergency physicians and emergency medicine residents. Comparing brief screening questions to the maslach burnout inventory academic pediatrics. The primary objective of this study was to determine the prevalence of burnout in anesthesiology residents within the sharp residency program.
Validation of the mbigs via the internet validation of the maslach burnout inventory general survey. Our population of pediatric residents had lower burnout scores than other resident. The aws was designed as a companion piece to the mbi. Medical residents ward off physician burnout with peer. Eric ej861499 burnout, perceived stress, and depression. Burnout and internal medicine resident workhour restrictions. A total of 258 residents 53% response rate from 11 pediatric residency programs completed a crosssectional webbased survey. Risk and resilience factors associated with resident burnout.
However, the length of the mbi can limit its utility in physician surveys. Oncology resident burnout rates and resiliency scores were measured using the abbreviated maslach burnout inventory and connordavidson resiliency scale. Pdf comparing the maslach burnout inventory to other. Mar 27, 2018 we conducted a crosssectional online survey among residents in a large university hospital in belgium. Downs boulervard, tampa, fl 336124766, usa received 1 november2001. Variability of burnout and stress measures in pediatric. The first edition of the maslach burnout inventory, the gold standard for evaluating burnout in the workplace, was published in 1981. Physicians, residents, and nurses affected by burnout are more prone to substance misuse moustou.
Does geriatric nursing staff burnout predict wellbeing of. By far the most widely used is the mbi, due, in part, to the wealth of. Shala have you completed your stanford health and lifestyle assessment. Burnout is increasingly prevalent among general practitioners gps in hungary, which may lead to functional impairment and, subsequently, to poor quality of patient care. The evidence is growing that burnout in trainees, as well as in practicing physicians, comes at a cost to the physicians, those they interact with at home and work, and their patients. The study population consisted of emergency medicine residents who completed an emailed questionnaire including selfassessment of medical errors, the epworth sleepiness scale ess score, the maslach burnout inventory, and primemd validated depression screening tool. We conducted a crosssectional online survey among residents in a large university hospital in belgium. Feb 03, 2016 they tested their hypothesis on internal medicine residents using a survey containing the maslach burnout inventory mbi, a threequestion loneliness scale and a social connectivity component. This project compared 3 singleitem measures with the mbi and other factors related to burnout. The most common measure of burnout is the wellvalidated maslach burnout inventory mbi. Despite this, and given that most large scale us studies of anesthesiology residents. Evaluation of burnout syndrome in medical residents following a. The current standard for burnout assessment is the maslach burnout inventory mbi, a wellvalidated instrument consisting of 22 items answered on a 7point likert scale.
Test yourself below are anonymous online selftest sites. An analytic and prospective study was conducted using the maslach burnout questionnaire in cardiology. Statistically significant increases were found as age increased and between residents and medical students p scale. The purpose of our crosssectional study was to estimate the burnout rates among medical residents in the largest greek hospital in 2012 and identify factors associated with it, based on the job demandsresources model jdr. Jul 10, 2008 assessing resident wellbeing is becoming increasingly important from a programmatic standpoint. The respondents, particularly residents, were struggling with academics, and higher percentages were struggling with worklife balance and emotional wellbeing. Medical residents are encouraged to take the assessment that is part of the. This study tested the dimensionality of the maslach burnout inventory general survey mbigs. Christina maslach is a pioneer in the research of burnout and a professor of psychology and vice provost at the university of california at berkeley. Beckstead college of nursing, university of south florida, 12901 bruce b. Online surveys were circulated to all canadian radiation oncology, medical oncology, and hematology residents and program directors. What factors promote resilience and protect against.