Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis
Abstract Objective The Copenhagen Burnout Inventory (CBI) is an open‐access, valid, and reliable instrument measuring burnout that includes 19 items distributed across the following 3 domains (factors): personal burnout, work burnout, and patient burnout. The primary objective of this study was to d...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2022-08-01
|
Series: | Journal of the American College of Emergency Physicians Open |
Subjects: | |
Online Access: | https://doi.org/10.1002/emp2.12797 |
_version_ | 1811282847811502080 |
---|---|
author | Melissa A. Barton Michelle D. Lall Mary M. Johnston Dave W. Lu Lewis S. Nelson Karl Y. Bilimoria Earl J. Reisdorff |
author_facet | Melissa A. Barton Michelle D. Lall Mary M. Johnston Dave W. Lu Lewis S. Nelson Karl Y. Bilimoria Earl J. Reisdorff |
author_sort | Melissa A. Barton |
collection | DOAJ |
description | Abstract Objective The Copenhagen Burnout Inventory (CBI) is an open‐access, valid, and reliable instrument measuring burnout that includes 19 items distributed across the following 3 domains (factors): personal burnout, work burnout, and patient burnout. The primary objective of this study was to determine the validity and reliability of an abbreviated CBI to assess burnout in emergency medicine residents. Methods This cross‐sectional study used data from the CBI that followed the 2021 American Board of Emergency Medicine In‐training Examination. Exploratory factor analysis (EFA) was followed by confirmatory factor analysis (CFA). Results Of the 8491 eligible residents, 7225 (85.1%) completed the survey; the EFA cohort included 3613 residents and the CFA cohort included 3612 residents. EFA showed 2 eigenvalues ≥1, an internal factor and an external factor. There were 6 CBI items that contributed to the 2 factors. The first factor was related to personal burnout and work‐related burnout and the second factor was related to working with patients. There were 4 CBI items that contributed to the internal factor and 2 CBI items that contributed to the external factor. Using the abbreviated CBI, the incidence of a resident having 1 or both types of burnout was 34.1%. Conclusions This study provides validity evidence and reliability support for the use of a 6‐item, 2‐factor abbreviated CBI. A shorter, reliable, valid, and publicly accessible burnout inventory provides numerous advantages for burnout research in emergency medicine. |
first_indexed | 2024-04-13T01:59:55Z |
format | Article |
id | doaj.art-e6712512cd684790adfe1c5bd8372c06 |
institution | Directory Open Access Journal |
issn | 2688-1152 |
language | English |
last_indexed | 2024-04-13T01:59:55Z |
publishDate | 2022-08-01 |
publisher | Wiley |
record_format | Article |
series | Journal of the American College of Emergency Physicians Open |
spelling | doaj.art-e6712512cd684790adfe1c5bd8372c062022-12-22T03:07:40ZengWileyJournal of the American College of Emergency Physicians Open2688-11522022-08-0134n/an/a10.1002/emp2.12797Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysisMelissa A. Barton0Michelle D. Lall1Mary M. Johnston2Dave W. Lu3Lewis S. Nelson4Karl Y. Bilimoria5Earl J. Reisdorff6American Board of Emergency Medicine East Lansing Michigan USADepartment of Emergency Medicine Emory University Atlanta Georgia USAAmerican Board of Emergency Medicine East Lansing Michigan USADepartment of Emergency Medicine University of Washington Seattle Washington USADepartment of Emergency Medicine Rutgers New Jersey Medical School Newark New Jersey USADepartment of Surgery Northwestern University Chicago Illinois USAAmerican Board of Emergency Medicine East Lansing Michigan USAAbstract Objective The Copenhagen Burnout Inventory (CBI) is an open‐access, valid, and reliable instrument measuring burnout that includes 19 items distributed across the following 3 domains (factors): personal burnout, work burnout, and patient burnout. The primary objective of this study was to determine the validity and reliability of an abbreviated CBI to assess burnout in emergency medicine residents. Methods This cross‐sectional study used data from the CBI that followed the 2021 American Board of Emergency Medicine In‐training Examination. Exploratory factor analysis (EFA) was followed by confirmatory factor analysis (CFA). Results Of the 8491 eligible residents, 7225 (85.1%) completed the survey; the EFA cohort included 3613 residents and the CFA cohort included 3612 residents. EFA showed 2 eigenvalues ≥1, an internal factor and an external factor. There were 6 CBI items that contributed to the 2 factors. The first factor was related to personal burnout and work‐related burnout and the second factor was related to working with patients. There were 4 CBI items that contributed to the internal factor and 2 CBI items that contributed to the external factor. Using the abbreviated CBI, the incidence of a resident having 1 or both types of burnout was 34.1%. Conclusions This study provides validity evidence and reliability support for the use of a 6‐item, 2‐factor abbreviated CBI. A shorter, reliable, valid, and publicly accessible burnout inventory provides numerous advantages for burnout research in emergency medicine.https://doi.org/10.1002/emp2.12797burnout measurementCopenhagen Burnout Indexreliabilityresidentsvalidity |
spellingShingle | Melissa A. Barton Michelle D. Lall Mary M. Johnston Dave W. Lu Lewis S. Nelson Karl Y. Bilimoria Earl J. Reisdorff Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis Journal of the American College of Emergency Physicians Open burnout measurement Copenhagen Burnout Index reliability residents validity |
title | Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis |
title_full | Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis |
title_fullStr | Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis |
title_full_unstemmed | Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis |
title_short | Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis |
title_sort | reliability and validity support for an abbreviated copenhagen burnout inventory using exploratory and confirmatory factor analysis |
topic | burnout measurement Copenhagen Burnout Index reliability residents validity |
url | https://doi.org/10.1002/emp2.12797 |
work_keys_str_mv | AT melissaabarton reliabilityandvaliditysupportforanabbreviatedcopenhagenburnoutinventoryusingexploratoryandconfirmatoryfactoranalysis AT michelledlall reliabilityandvaliditysupportforanabbreviatedcopenhagenburnoutinventoryusingexploratoryandconfirmatoryfactoranalysis AT marymjohnston reliabilityandvaliditysupportforanabbreviatedcopenhagenburnoutinventoryusingexploratoryandconfirmatoryfactoranalysis AT davewlu reliabilityandvaliditysupportforanabbreviatedcopenhagenburnoutinventoryusingexploratoryandconfirmatoryfactoranalysis AT lewissnelson reliabilityandvaliditysupportforanabbreviatedcopenhagenburnoutinventoryusingexploratoryandconfirmatoryfactoranalysis AT karlybilimoria reliabilityandvaliditysupportforanabbreviatedcopenhagenburnoutinventoryusingexploratoryandconfirmatoryfactoranalysis AT earljreisdorff reliabilityandvaliditysupportforanabbreviatedcopenhagenburnoutinventoryusingexploratoryandconfirmatoryfactoranalysis |