Eksioglu Merve, Koca Ayca, Azapoglu Kaymak Burcu, Cimilli Ozturk Tuba, Halil Elhan Atilla
University of Health Sciences Fatih Sultan Mehmet Education and Research Hospital, Department of Emergency Medicine, Istanbul, Turkey.
Ankara University Faculty of Medicine, Department of Emergency Medicine, Ankara, Turkey.
West J Emerg Med. 2024 Nov;25(6):958-965. doi: 10.5811/westjem.21199.
Clinician burnout represents a significant occupational hazard among physicians, with a notably high prevalence among emergency physicians. The Stanford Professional Fulfillment Index (PFI) was developed to comprehensively assess various aspects of doctors' work experiences, including professional fulfillment. In this study we aimed to validate the Turkish version of the PFI (T-PFI), a 16-item instrument designed to measure physicians' professional fulfillment and burnout.
In this cross-sectional study, we validated the T-PFI in two phases. The initial phase involved translating and culturally adapting the original PFI into Turkish. We evaluated the content validity of the translated version using item and scale content validity indices (I-CVI and S-CVI, respectively). The validated T-PFI was then distributed among a broad cohort of emergency physicians via an online survey to further assess its reliability and validity. The assessment tools included Cronbach α, confirmatory factor analysis, and content validity indices.
Of 1,434 physicians who were sent the survey, 425 fully completed it (29.6%). There was an almost equal distribution of 215 females and 210 males. Only 9.6% of the participants reported high levels of professional fulfillment, whereas a significant majority (79.1%) were susceptible to burnout. The Cronbach α values for the professional fulfillment and overall burnout scales were 0.87 and 0.90, respectively. The content validity was confirmed by I-CVI values exceeding 0.80 and an S-CVI/average relevance of 0.92. The confirmatory factor analysis demonstrated an acceptable model fit after adjustments.
The T-PFI is a reliable and valid tool for assessing professional fulfillment and burnout among emergency physicians in Turkey. Effective interventions to mitigate burnout are essential to improve physician well-being in Turkish healthcare settings.
临床医生职业倦怠是医生群体面临的一项重大职业风险，在急诊医生中尤为高发。斯坦福职业成就感指数（PFI）旨在全面评估医生工作体验的各个方面，包括职业成就感。在本研究中，我们旨在验证土耳其语版的PFI（T-PFI），这是一个包含16个条目的工具，用于测量医生的职业成就感和职业倦怠。
在这项横断面研究中，我们分两个阶段验证T-PFI。第一阶段包括将原始PFI翻译成土耳其语并进行文化调适。我们分别使用条目内容效度指数（I-CVI）和量表内容效度指数（S-CVI）评估翻译版本的内容效度。经验证的T-PFI随后通过在线调查分发给广大急诊医生群体，以进一步评估其信度和效度。评估工具包括克朗巴哈α系数、验证性因素分析和内容效度指数。
在1434名收到调查问卷的医生中，425人完整填写了问卷（29.6%）。其中女性215人，男性210人，分布基本均衡。只有9.6%的参与者报告有高水平的职业成就感，而绝大多数（79.1%）容易出现职业倦怠。职业成就感量表和总体职业倦怠量表的克朗巴哈α系数分别为0.87和0.90。I-CVI值超过0.80且S-CVI/平均相关性为0.92，证实了内容效度。验证性因素分析显示调整后模型拟合良好。
T-PFI是评估土耳其急诊医生职业成就感和职业倦怠的可靠有效工具。在土耳其医疗环境中，采取有效干预措施减轻职业倦怠对于改善医生的身心健康至关重要。
