scoring 22 item maslach burnout inventory

The use of item response theory (IRT) measurement methods can facilitate an enhanced understanding of subscale scores over traditional methods. Traditional measurement methods do not permit users to directly compare subscale scores with the content of items to interpret their meaning. One contributor to the observed inconsistencies in defining dichotomous burnout outcomes on the MBI may be the lack of clarity regarding the meaning of subscale scores. While the MBI is the most widely used physician burnout outcome assessment, a recent systematic review found a lack of consistency in cut-points used to define dichotomous burnout outcomes on each continuous MBI subscale, contributing to a marked heterogeneity in reported burnout prevalences across studies. Our results can be used to better understand the meaning and precision of MBI scores in US physicians compare individual/group MBI scores against a reference population of US physicians and inform the selection of subscale cut-points for defining categorical physician burnout outcomes.Ĭurrent US health policy discussions surrounding the physician burnout crisis have largely been informed by prevalence studies employing the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI). We produced a crosswalk mapping raw MBI subscale scores to scaled scores and response profiles calibrated in a US physician sample. Each subscale assessed the majority of sample score ranges with ≥ 0.70 reliability. At the commonly used EE and DP cut-points of 27 and 10, respectively, a physician was unlikely to endorse feeling burned out or any DP symptoms once weekly or more. The average US physician was likely to endorse feeling he/she is emotionally drained, used up, frustrated, and working too hard and all PA indicators once weekly or more but was unlikely to endorse feeling any DP symptoms once weekly or more. Response profiles were mapped to raw subscale scores and used to predict symptom endorsements at mean scores and commonly used cut-points. Using item response theory (IRT) analyses of secondary, cross-sectional survey data, we created response profiles describing the probability of burnout symptoms associated with US physicians’ MBI emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA) subscale scores. We described the burnout symptoms and precision associated with MBI scores in US physicians. The MBI is often combined with the Areas of Worklife Survey (AWS) to assess levels of burnout and worklife context.Current US health policy discussions regarding physician burnout have largely been informed by studies employing the Maslach Burnout Inventory (MBI) yet, there is little in the literature focused on interpreting MBI scores. The MBI has been validated for human services populations, educator populations, and general work populations. Research based on the job demands-resources (JD-R) model indicates that the emotional exhaustion, the core of burnout, is directly related to demands and inversely related to the extensiveness of resources. Two meta-analyses of primary studies that report sample-specific reliability estimates for the three MBI scales found that emotional exhaustion scale has good enough reliability however, reliability is problematic regarding depersonalization and personal accomplishment scales.

There are now five versions of the MBI: Human Services Survey (MBI-HSS), Human Services Survey for Medical Personnel (MBI-HSS (MP)), Educators Survey (MBI-ES), General Survey (MBI-GS), and General Survey for Students (MBI-GS ). Introspective psychological inventory pertaining to occupational burnoutįollowing the publication of the MBI in 1981, new versions of the MBI were gradually developed to apply to different groups and different settings. Quick facts: Maslach Burnout Inventory, Purpose.

Scoring 22 item maslach burnout inventory