Agreement between the Maslach Burnout Inventory and the Copenhagen Burnout Inventory among emergency physicians and trainees.

IF 3.4 3区医学 Q1 EMERGENCY MEDICINE

Academic Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-07-31 DOI:10.1111/acem.14994

Henry Li, Erica Dance, Zafrina Poonja, Leandro Solis Aguilar, Isabelle Colmers-Gray

{"title":"Agreement between the Maslach Burnout Inventory and the Copenhagen Burnout Inventory among emergency physicians and trainees.","authors":"Henry Li, Erica Dance, Zafrina Poonja, Leandro Solis Aguilar, Isabelle Colmers-Gray","doi":"10.1111/acem.14994","DOIUrl":null,"url":null,"abstract":"Background: Emergency physicians have the highest rates of burnout among all specialties. Existing burnout tools include the Copenhagen Burnout Inventory (CBI) and single-item measures from the Maslach Burnout Inventory (MBI). While both were designed to measure burnout, how they conceptualize this phenomenon differs and their agreement is unclear. Given the close conceptual relationship between emotional regulation strategies such as distancing and distraction with the MBI subscale of depersonalization, we examined agreement between the two inventories and association with emotional regulation strategies as a lens to explore the conceptualization of burnout.Methods: We conducted a cross-sectional survey of adult and pediatric emergency physicians and trainees in Canada. Survey questions were pretested using written feedback and cognitive interviews. \"Frequent use\" of an emotional regulation strategy was \"most\" or \"all\" shifts (≥4 on 5-point Likert scale). Burnout was defined as mean ≥50/100 on the CBI and scoring ≥5 (out of 7) on at least one of the single-item measures from the MBI. Associations with burnout were examined using multivariable logistic regression.Results: Of 147 respondents, 44.2% were positive for burnout on the CBI and 44.9% on the single-item measures from the MBI. Disagreement was 21.1% overall, ranging from 12.5% for older (≥55 years) physicians to 30.2% for younger (<35 years) physicians. Use of distraction and use of distancing were strongly associated with burnout on the single-item measures (adjusted odds ratio [aOR] 14.4, 95% confidence interval [CI] 3.4-60.8]) and CBI (aOR 10.1, 95% CI 2.5-39.8, respectively.Conclusions: Despite near-equal rates of burnout, agreement between the CBI and single-item measures from the MBI varies and was lower for younger emergency physicians/trainees. While emotional regulation strategies were felt to be important in supporting a career in emergency medicine, they were strongly associated with burnout. Future research is needed to better understand this phenomenon and which tools to use to measure burnout.","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":"1243-1255"},"PeriodicalIF":3.4000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Academic Emergency Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/acem.14994","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/31 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Emergency physicians have the highest rates of burnout among all specialties. Existing burnout tools include the Copenhagen Burnout Inventory (CBI) and single-item measures from the Maslach Burnout Inventory (MBI). While both were designed to measure burnout, how they conceptualize this phenomenon differs and their agreement is unclear. Given the close conceptual relationship between emotional regulation strategies such as distancing and distraction with the MBI subscale of depersonalization, we examined agreement between the two inventories and association with emotional regulation strategies as a lens to explore the conceptualization of burnout.

Methods: We conducted a cross-sectional survey of adult and pediatric emergency physicians and trainees in Canada. Survey questions were pretested using written feedback and cognitive interviews. "Frequent use" of an emotional regulation strategy was "most" or "all" shifts (≥4 on 5-point Likert scale). Burnout was defined as mean ≥50/100 on the CBI and scoring ≥5 (out of 7) on at least one of the single-item measures from the MBI. Associations with burnout were examined using multivariable logistic regression.

Results: Of 147 respondents, 44.2% were positive for burnout on the CBI and 44.9% on the single-item measures from the MBI. Disagreement was 21.1% overall, ranging from 12.5% for older (≥55 years) physicians to 30.2% for younger (<35 years) physicians. Use of distraction and use of distancing were strongly associated with burnout on the single-item measures (adjusted odds ratio [aOR] 14.4, 95% confidence interval [CI] 3.4-60.8]) and CBI (aOR 10.1, 95% CI 2.5-39.8, respectively.

Conclusions: Despite near-equal rates of burnout, agreement between the CBI and single-item measures from the MBI varies and was lower for younger emergency physicians/trainees. While emotional regulation strategies were felt to be important in supporting a career in emergency medicine, they were strongly associated with burnout. Future research is needed to better understand this phenomenon and which tools to use to measure burnout.

查看原文本刊更多论文

马斯拉赫倦怠感量表与哥本哈根倦怠感量表在急诊医生和受训人员中的一致性。

背景：在所有专业中，急诊医生的职业倦怠率最高。现有的职业倦怠工具包括哥本哈根职业倦怠量表（CBI）和马斯拉赫职业倦怠量表（MBI）中的单项测量。虽然这两种工具都是为了测量职业倦怠而设计的，但它们对这一现象的概念有何不同，其一致性尚不明确。鉴于疏远和分散注意力等情绪调节策略与 MBI 的人格解体分量表之间存在密切的概念关系，我们研究了这两个量表之间的一致性以及与情绪调节策略之间的关联，以此作为探索职业倦怠概念化的一个视角：我们对加拿大的成人和儿科急诊医生及实习生进行了横断面调查。调查问题通过书面反馈和认知访谈进行了预先测试。情绪调节策略的 "经常使用 "是指 "大部分 "或 "所有 "班次（在5点Likert量表中≥4）。职业倦怠的定义是：CBI的平均值≥50/100，并且在MBI的单项测量中至少有一项得分≥5（满分7分）。采用多变量逻辑回归法研究了倦怠的相关性：在 147 名受访者中，44.2% 的受访者在 CBI 和 MBI 的单项测评中对职业倦怠呈阳性反应，44.9% 的受访者在 CBI 和 MBI 的单项测评中对职业倦怠呈阳性反应。总体不同意率为 21.1%，年龄较大（≥55 岁）的医生不同意率为 12.5%，年龄较小的医生不同意率为 30.2%：尽管职业倦怠的发生率几乎相同，但CBI与MBI中的单项测量之间的一致性存在差异，且年轻急诊医师/见习医师的一致性较低。虽然人们认为情绪调节策略对于支持急诊医学事业非常重要，但它们与职业倦怠密切相关。未来的研究需要更好地理解这一现象，以及使用哪些工具来测量职业倦怠。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Academic Emergency Medicine 医学-急救医学

CiteScore

7.60

自引率

6.80%

发文量

207

审稿时长

3-8 weeks

期刊介绍： Academic Emergency Medicine (AEM) is the official monthly publication of the Society for Academic Emergency Medicine (SAEM) and publishes information relevant to the practice, educational advancements, and investigation of emergency medicine. It is the second-largest peer-reviewed scientific journal in the specialty of emergency medicine. The goal of AEM is to advance the science, education, and clinical practice of emergency medicine, to serve as a voice for the academic emergency medicine community, and to promote SAEM''s goals and objectives. Members and non-members worldwide depend on this journal for translational medicine relevant to emergency medicine, as well as for clinical news, case studies and more. Each issue contains information relevant to the research, educational advancements, and practice in emergency medicine. Subject matter is diverse, including preclinical studies, clinical topics, health policy, and educational methods. The research of SAEM members contributes significantly to the scientific content and development of the journal.