Examining factor structure of Maslach burnout inventory among nurses in Taiwan: Factor structure of MBI for nurses
Open accessAbstract
AIM: To investigate the factorial structure of a Chinese version of the MBI-HSS for nurses in Taiwan. BACKGROUND Previous studies have presented different factorial structures using the Maslach burnout inventory-human services survey (MBI-HSS). METHODS: Secondary data analysis was implemented to explore the factor structure of MBI-HSS using exploratory factor analysis. Confirmatory factor analysis was then performed to verify the modified structure for nurses in Taiwan. RESULTS: The EFA found that three factors explaining 57% of the variance were extracted, and 20 of the 22 items were retained. The goodness-of-fit test was performed using the CFA approach, and it was verified that the modified version of MBI-HSS is a suitable instrument for measuring burnout for nurses in Taiwan. CONCLUSIONS: A nationwide sample confirmed the factorial structure of MBI-HSS for nurses in Taiwan with a three-dimension, 20-item assessment, and the variance was not diminished in this sample. IMPLICATIONS FOR NURSING MANAGEMENT: These findings demonstrate that the modified version of MBI-HSS provides a suitable instrument for measuring burnout for nurses in Taiwan. Therefore, the modified version of MBI-HSS can be used to compare burnout of nurses across cultures, providing valuable information for policies or preventions in the future.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The MBI-HSS is used in various cultural contexts and languages.
“The 22-question Maslach Burnout Inventory contains three dimensions, which assess emotional exhaustion (EE), depersonalization (DP), and a sense of personal accomplishment (PA), and the MBI service survey is used in various cultural contexts and language [39,40,41,42,43]; however, to the best of our current knowledge, there is a gap in the literature regarding the validation of the MBI in Arabic”
Cites
Qu, X. (2007) · Technometrics · doi:10.1198/tech.2007.s455 · Cited by 14,758 · see citing works
Back-translation for cross-cultural research.
Brislin, R. W. (1970) · Journal of Cross-Cultural Psychology · doi:10.1177/135910457000100301 · Cited by 14,091 · see citing works
Essentials of nursing research: Methods, appraisal, and utilization
Polit, D. F., & Hungler, B. P. (1989) · Cited by 3,211 · see citing works
Champion, D. F., & Westbrook, B. W. (1984) · Measurement and Evaluation in Counseling and Development · doi:10.1080/07481756.1984.12022754 · Cited by 2,389 · see citing works
Exploratory Factor Analysis: Its Role in Item Analysis
Gorsuch, R. L. (1997) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6803_5 · Cited by 1,062 · see citing works
Burnout syndrome in critical care nursing staff
Poncet, M. C., Toullic, P., Papazian, L., Kentish-Barnes, N., Timsit, J.-F., Pochard, F., Chevret, S., Schlemmer, B., & Azoulay, É. (2007) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200606-806oc · Cited by 750 · see citing works
SPENCE LASCHINGER, H. K., LEITER, M., DAY, A., & GILIN, D. (2009) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2009.00999.x · Cited by 730 · see citing works
Burnout and physical and mental health among Swedish healthcare workers
Peterson, U., Demerouti, E., Bergström, G., Samuelsson, M., Åsberg, M., & Nygren, Å. (2008) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2007.04580.x · Cited by 572 · see citing works
Job demands–resources, burnout and intention to leave the nursing profession: A questionnaire survey
Jourdain, G., & Chênevert, D. (2010) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2009.11.007 · Cited by 434 · see citing works
Poghosyan, L., Aiken, L. H., & Sloane, D. M. (2009) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2009.03.004 · Cited by 408 · see citing works
Dyrbye, L. N., & Shanafelt, T. D. (2011) · JAMA · doi:10.1001/jama.2011.652 · Cited by 371 · see citing works
Factorial validity of the Maslach burnout inventory (MBI-HSS) among Spanish professionals
Gil-Monte, P. R. (2005) · Revista de Saúde Pública · doi:10.1590/s0034-89102005000100001 · Cited by 325 · see citing works
Factor Structure of Scores From the Maslach Burnout Inventory
Worley, J. A., Vassar, M. B., Wheeler, D., & Barnes, L. L. B. (2008) · Educational and Psychological Measurement · doi:10.1177/0013164408315268 · Cited by 236 · see citing works
Bogaert, P. V., Clarke, S. P., Roelant, E., Meulemans, H., & de Heyning, P. V. (2010) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2009.03128.x · Cited by 233 · see citing works
Sim, S.-M., & Rasiah, R. I. (2006) · Annals of the Academy of Medicine, Singapore · doi:10.47102/annals-acadmedsg.v35n2p67 · Cited by 196 · see citing works
Burnout in nurses and physicians working at an oncology department
Alacacıoğlu, A., Yavuzşen, T., Diriöz, M., Öztop, İ., & Yılmaz, U. (2008) · Psycho-Oncology · doi:10.1002/pon.1432 · Cited by 162 · see citing works
Barrett, L. L., & Yates, P. M. (2002) · Australian Health Review · doi:10.1071/ah020109 · Cited by 146 · see citing works
Confirmatory factor analysis of the Maslach Burnout Inventory among Florida nurses
Beckstead, J. W. (2002) · International Journal of Nursing Studies · doi:10.1016/s0020-7489(02)00012-3 · Cited by 145 · see citing works
Losa Iglesias, M. E., Vallejo, R. B. D. B., & Fuentes, P. S. (2010) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2009.06.014 · Cited by 140 · see citing works
Hansen, N., Sverke, M., & Näswall, K. (2008) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2008.08.002 · Cited by 137 · see citing works
How to Read and Really Use an Item Analysis
McGahee, T. W., & Ball, J. (2009) · Nurse Educator · doi:10.1097/nne.0b013e3181aaba94 · Cited by 126 · see citing works
Burnout among care staff for older adults with dementia
Duffy, B., Oyebode, J. R., & Allen, J. (2009) · Dementia · doi:10.1177/1471301209350285 · Cited by 109 · see citing works
Burnout among hospital nurses in China
Lin, F. F., John, W. S., & McVeigh, C. A. (2008) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2008.00914.x · Cited by 83 · see citing works
Perceptions of Stress, Burnout, and Support Systems in Pediatric Bone Marrow Transplantation Nursing
Gallagher, R., & Gormley, D. K. (2009) · Clinical journal of oncology nursing · doi:10.1188/09.cjon.681-685 · Cited by 78 · see citing works
"Burnout" in Intensive Care Nurses
Chen, S.-M., & McMurray, A. M. (2001) · Journal of Nursing Research · doi:10.1097/01.jnr.0000347573.45553.e0 · Cited by 77 · see citing works
Vanheule, S., Rosseel, Y., & Vlerick, P. (2006) · Stress and Health · doi:10.1002/smi.1124 · Cited by 75 · see citing works
Job satisfaction and burnout among Palestinian nurses
Abushaikha, L. A., & Saca-Hazboun, H. (2009) · Eastern Mediterranean Health Journal · doi:10.26719/2009.15.1.190 · Cited by 73 · see citing works
Factor structure of the Maslach Burnout Inventory among Finnish nursing staff
Kanste, O. I., Miettunen, J., & Kyngäs, H. A. (2006) · Nursing and Health Sciences · doi:10.1111/j.1442-2018.2006.00283.x · Cited by 67 · see citing works
Burnout, psychosomatic symptoms and job satisfaction among Dutch nurse anaesthetists: a survey
Meeusen, V., van Dam, K., Brown-Mahoney, C., van Zundert, A. A. J., & Knape, H. (2010) · Acta Anaesthesiologica Scandinavica · doi:10.1111/j.1399-6576.2010.02213.x · Cited by 43 · see citing works
THE BURNOUT AND EXHAUSTION LEVELS OF NURSES WORKING IN HAEMODIALYSIS UNITS
Kapucu, S. S., Akkuş, Y., Akdemir, N., & Karacan, Y. (2009) · Journal of Renal Care · doi:10.1111/j.1755-6686.2009.00108.x · Cited by 27 · see citing works
[The relationship between hardiness, coping strategies and burnout in psychiatric nurses].
Hsieh, C.-J., Hsieh, H.-Y., Chen, P.-H., Hsiao, Y.-L., & Lee, S. (2004) · PubMed · Cited by 26 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Lee, H.-F., Chiang, H.-Y., & Kuo, H.-T. (2019) · Journal of Nursing Management · doi:10.1111/jonm.12648 · Cited by 165 · see citing works
Self-citationShang, J., You, L., Ma, C., Altares, D., Sloane, D. M., & Aiken, L. H. (2014) · Human Resources for Health · doi:10.1186/1478-4491-12-1 · Cited by 154 · see citing works
A Meta-Analysis of the Effects of Coping Strategies on Reducing Nurse Burnout
Lee, H., Kuo, C., Chien, T., & Wang, Y.-R. (2016) · Applied Nursing Research · doi:10.1016/j.apnr.2016.01.001 · Cited by 140 · see citing works
Self-citationLoera, B., Converso, D., & Viotti, S. (2014) · PLoS ONE · doi:10.1371/journal.pone.0114987 · Cited by 138 · see citing works
The perceptions of patient safety culture: A difference between physicians and nurses in Taiwan
Huang, C., Wu, H., & Lee, Y.-C. (2017) · Applied Nursing Research · doi:10.1016/j.apnr.2017.12.010 · Cited by 68 · see citing works
Predictors of Burnout Among Nurses in Taiwan
Lee, H., Yen, M., Fetzer, S. J., & Chien, T. W. (2014) · Community Mental Health Journal · doi:10.1007/s10597-014-9818-4 · Cited by 60 · see citing works
Self-citationWork stress and occupational burnout among dental staff in a medical center
Lee, C., Wu, J., & Du, J. (2019) · Journal of Dental Sciences · doi:10.1016/j.jds.2019.01.006 · Cited by 58 · see citing works
Psychometric properties of Copenhagen Burnout Inventory among nurses
Montgomery, A. P., Azuero, A., & Patrician, P. A. (2021) · Research in Nursing & Health · doi:10.1002/nur.22114 · Cited by 63 · see citing works
Al Mutair, A., Al Mutairi, A., Chagla, H., Alawam, K., Alsalman, K., & Ali, A. (2020) · Applied Sciences · doi:10.3390/app10051890 · Cited by 54 · see citing works
Methodological considerations when translating “burnout”
Squires, A. P., Finlayson, C. S., Gerchow, L., Cimiotti, J. P., Matthews, A., Schwendimann, R., Griffiths, P., Busse, R., Heinen, M. M., Brzostek, T., et al. (2014) · Burnout Research · doi:10.1016/j.burn.2014.07.001 · Cited by 52 · see citing works
Lee, Y., Chou, W., Chien, T., Chou, P., Yeh, Y.-T., & Lee, H. (2019) · JMIR Medical Informatics · doi:10.2196/16528 · Cited by 45 · see citing works
Self-citationYanbei, R., Dongdong, M., Yun, L., Ning, W., & Fengping, Q. (2023) · BMC Nursing · doi:10.1186/s12912-023-01180-5 · Cited by 44 · see citing works
Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intention
Chen, Y., You, Y., Shen, Y., Du, Z., & Dai, T. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.970780 · Cited by 35 · see citing works
Lee, Y.-C., Huang, S.-C., Huang, C., & Wu, H.-H. (2016) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.1177/0046958016679306 · Cited by 32 · see citing works
Sun, X., Zhang, M., Lu, Z., Zhang, Z., Zheng, J., Cheng, L., Zeng, L., Qian, Y., & Huang, L. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-061922 · Cited by 31 · see citing works
Xiao, Y., Zhang, H., Li, Q., Xiao, S., Dai, T., Guo, J., & Yu, Y. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.812929 · Cited by 27 · see citing works
The Effects of Work Satisfaction and Work Flexibility on Burnout in Nurses
Lee, H., & Chang, Y. (2022) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000522 · Cited by 26 · see citing works
Self-citationSu, C.-C., Hsu, H., Hung, H., Chang, S.-Y., Yen, M., Lee, H., & Fetze, S. (2025) · Applied Nursing Research · doi:10.1016/j.apnr.2025.151949 · Cited by 20 · see citing works
Self-citationPredicting Burnout Syndrome in Greek Mental Health Professionals
Sofology, M., Efstratopoulou, M., & Dunn, T. J. (2018) · Journal of Social Service Research · doi:10.1080/01488376.2018.1480556 · Cited by 18 · see citing works
Lee, H.-F. (2017) · History Research · doi:10.11648/j.history.20170501.11 · Cited by 16 · see citing works
Self-citationWang, Y., Li, Y., Li, W., Chen, A., & Sun, Z. (2023) · Nursing Open · doi:10.1002/nop2.1674 · Cited by 14 · see citing works
la Cruz, G. C.-D., & Merino‐Soto, C. (2020) · Revista Ciencias de la Salud · doi:10.12804/revistas.urosario.edu.co/revsalud/a.9275 · Cited by 13 · see citing works
Huang, C., Wang, Y., Wu, H., & Lee, Y.-C. (2021) · The TQM Journal · doi:10.1108/tqm-01-2021-0024 · Cited by 14 · see citing works
Skefales, A., Plakas, S., Fouka, G., Goni, M., Vassiliadou, M., & Bergiannaki, J.-D. (2014) · Open Journal of Nursing · doi:10.4236/ojn.2014.47058 · Cited by 13 · see citing works
Resilience and Burnout in Pediatric Nurses in a Tertiary Children's Hospital
Waterworth, S., & Grace, A.-M. (2021) · MCN The American Journal of Maternal/Child Nursing · doi:10.1097/nmc.0000000000000713 · Cited by 12 · see citing works
Henchiri, H., Tannoubi, A., Harrathi, C., Boussayala, G., Quansah, F., Hagan, J. E., Mechergui, H., Chaabeni, A., Chebbi, T., Lakhal, T. B., et al. (2025) · Healthcare · doi:10.3390/healthcare13020173 · Cited by 9 · see citing works
Lee, H., Chiang, H., Chang, Y., CHANG, M.-Y., Lee, C., Hsiu-Chuan, W. U., Doressses, L. I. U., & Fetzer, S. J. (2024) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000639 · Cited by 9 · see citing works
Self-citationJi, W., Liu, Y., Sun, Q., Wu, D., Liu, T., & Sun, P. (2025) · BMJ Open · doi:10.1136/bmjopen-2025-099854 · Cited by 9 · see citing works
Lee, Y.-C., Huang, C., Lin, Y.-C., & Wu, H. (2017) · TEM Journal · doi:10.18421/tem63-10 · Cited by 4 · see citing works
Lee, H.-C., & Fung, J. J. (2024) · Journal of Psychology and Theology · doi:10.1177/00916471241300156 · Cited by 3 · see citing works
Self-citationSex differences in stress, burnout and coping in emergency medical service providers
Sporer, C. R. (2016) · CUNY Academic Works (City University of New York) · Cited by 3 · see citing works
Zhang, F., Zhang, J., Chen, Z., Zhang, Y. H., Wang, K., Wei, C., & Chen, B.-Y. (2024) · Work · doi:10.1177/10519815241289340 · Cited by 2 · see citing works
Geng, W., Cao, J., Hong, X., Jiang, J., Hu, J., Duan, Y., & Wei, J. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1138361 · Cited by 2 · see citing works
Experiences of Burnout among Staff Nurses of Private Hospitals in Surigao City
Dogmoc, C. C., Lopez, C.-A. C., Taypa, M. J. P., Almonguera, J. E., & Ederio, N. T. (2024) · International Journal of Current Science Research and Review · doi:10.47191/ijcsrr/v7-i5-95 · Cited by 2 · see citing works
Establishing a Measurement Tool for a Nursing Work Environment in Taiwan
Lin, L.-C., Lee, H., & Yen, M. (2017) · Research and theory for nursing practice · doi:10.1891/1541-6577.31.1.75 · Cited by 2 · see citing works
Self-citationPsychometric validation of the Taiwanese nurse burnout scale
Meng-Ting, C., Chang, Y.-W., Chung-Ying, L., Yanhong, D., Yen, M., Lee, H., & Hsiang-Chin, H. (2026) · BMC Psychology · doi:10.1186/s40359-026-04040-4 · Cited by 1 · see citing works
Self-citationXiao, Y., Zhang, H., Li, Q., Xiao, S., Dai, T., Guo, J., & Yu, Y. (2021) · doi:10.2196/preprints.34611
Related Factors of Health-Related Quality of Life in Female Nurses with In-Service Training Program
Lee, H.-F., Hung, H., & Wang, H.-L. (2024) · Florence Nightingale Journal of Nursing · doi:10.5152/fnjn.2024.23182
Self-citationHsu, C.-L., Hung, H., Chen, C., & Lee, H. (2025) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000707
Self-citationYanbei, R., Dongdong, M., Yun, L., Ning, W., & Fengping, Q. (2023) · Figshare · doi:10.6084/m9.figshare.22612369
Correlations between capability face pressure, job crafting, and burnout among orthopedic nurses
Zhang, L., & Ba, H. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1727198
He, J., Song, P., Zhang, C., & Yang, L. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1803165
Wu, C., Zha, N., Zhang, K., Wang, M., He, S., Shi, X., He, J., Wang, Y., & Lang, H. (2026) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-026-03184-3
- Authors
- LEE, H.-F., CHIEN, T.-W., & YEN, M.
- Affiliations
- Chi Mei Medical Center (TW)
- Chia Nan University of Pharmacy and Science (TW)
- National Cheng Kung University (TW)
- Venue
- Journal of Nursing Management
- Publisher
- Hindawi Limited
- Published
- 2012-07-07
- Volume
- 21
- Issue
- 4
- Pages
- 648-656
- ISSN
- 0966-0429 (ISSN-L)
- OpenAlex
- W1720359923
- Cited by
- 44
- References
- 32
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5 · 2023: 4 · 2022: 4 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 3 · 2014: 5
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Nursing Management (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- Maslach Burnout Inventory-Human Services Survey, burnout, nurses, factor structure, Chinese version, psychometric validation, cross-cultural measurement, Taiwan
- MeSH terms
- Adult, Burnout, Professional, Factor Analysis, Statistical, Female, Humans, Male, Nurses, Personality Inventory, Psychometrics, Surveys and Questionnaires, Taiwan, Reproducibility of Results
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review