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哥本哈根倦怠量表在护士中的心理测量特性。

Psychometric properties of Copenhagen Burnout Inventory among nurses.

机构信息

School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.

出版信息

Res Nurs Health. 2021 Apr;44(2):308-318. doi: 10.1002/nur.22114. Epub 2021 Feb 17.

Abstract

Worldwide, nurses have been reporting high levels of burnout. Given the high prevalence of nurse burnout, measurements of burnout need to be carefully considered for their validity and reliability. Our research team used a relatively new instrument to measure burnout among nurses: the Copenhagen Burnout Inventory (CBI). This 19-item instrument measures burnout in three dimensions: Personal, Work-related, and Client-related Burnout. However, the psychometric properties of the CBI have not been examined in nurses. Thus, the purpose of this study was to determine the psychometric properties of the CBI in a state-wide survey of inpatient staff nurses. A total of 928 registered nurses working in Alabama-area hospitals (N = 42 hospitals) participated in this study. Confirmatory factor analysis resulted in an adequate fit to the data and supported construct validity. As evidence of convergent validity, the CBI was moderately to highly correlated with measures of the overall work environment, job satisfaction, and intent to leave, in the anticipated directions. The Cronbach's alphas for Personal Burnout, Work-related Burnout, and Client-related Burnout were 0.91, 0.89, and 0.92, respectively, demonstrating excellent internal consistency reliability for the subscales. Based on our data, the CBI demonstrates adequate validity and reliability for measuring burnout among frontline nurses. As nurses provide care to the most vulnerable patients in healthcare systems, their psychological well-being is important due to the impact on quality of care on patient outcomes. The availability of the CBI on its website allows nurses, nurse managers, and researchers to evaluate burnout in a variety of nursing populations with no licensing costs.

摘要

全球范围内,护士群体报告称自身存在较高水平的职业倦怠。鉴于护士职业倦怠的高患病率,在评估其有效性和可靠性时,需要仔细考虑倦怠的衡量标准。我们的研究团队使用了一种相对较新的工具来衡量护士的职业倦怠:哥本哈根倦怠量表(CBI)。该量表共有 19 个条目,从三个维度衡量倦怠:个人、工作相关和与患者相关的倦怠。然而,CBI 的心理测量学特性尚未在护士群体中得到检验。因此,本研究的目的是确定 CBI 在全州范围内对住院部护士进行调查时的心理测量学特性。共有 928 名在阿拉巴马地区医院工作的注册护士(N=42 家医院)参与了这项研究。验证性因素分析得出的数据拟合度适中,支持结构有效性。作为聚合效度的证据,CBI 与整体工作环境、工作满意度和离职意向的测量结果中度至高度相关,方向符合预期。个人倦怠、工作相关倦怠和与患者相关倦怠的 Cronbach's α 系数分别为 0.91、0.89 和 0.92,表明子量表具有极好的内部一致性信度。根据我们的数据,CBI 具有充分的有效性和可靠性,可用于衡量一线护士的倦怠情况。由于护士在医疗保健系统中为最脆弱的患者提供护理,他们的心理健康状况很重要,因为这会对患者的治疗结果产生影响。CBI 在其网站上的可用性使护士、护士管理人员和研究人员能够在没有许可费用的情况下评估各种护理人群的倦怠情况。

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