Evaluating the Psychometric Properties of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) among Italian Nurses: How Many Factors Must a Researcher Consider?
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BACKGROUND: The Maslach Burnout Inventory (MBI) is the mainstream measure for burnout. However, its psychometric properties have been questioned, and alternative measurement models of the inventory have been suggested. AIMS: Different models for the number of items and factors of the MBI-HSS, the version of the Inventory for the Human Service sector, were tested in order to identify the most appropriate model for measuring burnout in Italy. METHODS: The study dataset consisted of a sample of 925 nurses. Ten alternative models of burnout were compared using confirmatory factor analysis. The psychometric properties of items and reliability of the MBI-HSS subscales were evaluated. RESULTS: Item malfunctioning may confound the MBI-HSS factor structure. The analysis confirmed the factorial structure of the MBI-HSS with a three-dimensional, 20-item assessment. CONCLUSIONS: The factorial structure underlying the MBI-HSS follows Maslach's definition when items are reduced from the original 22 to a 20-item set. Alternative models, either with fewer items or with an increased number of latent dimensions in the burnout structure, do not yield better results to justify redefining the item set or theoretically revising the syndrome construct.
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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”
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“…and even different structure, however, most of the studies, though conducted in different languages in different countries, confirmed the 3-factor structure (e.g. Hallberg & Sverke, 2004; Kim & Juye, 2008; Loera et al., 2014; Oh & Lee, 2009; Schaufeli, Salanova, González-romá, & Bakker, 2002).”
ResultHenchiri, 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
- Authors
- Loera, B., Converso, D., & Viotti, S.
- Affiliations
- University of Turin (IT)
- Corresponding author
- Converso, Daniela
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2014-12-12
- Volume
- 9
- Issue
- 12
- Pages
- e114987
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4264862
- OpenAlex
- W1984800072
- Cited by
- 138
- References
- 8
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 11 · 2023: 9 · 2022: 17 · 2021: 15 · 2020: 14 · 2019: 17 · 2018: 22 · 2017: 13 · 2016: 3 · 2015: 7
- FWCI
- 11.37
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion, other-oa)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Fondazione CRT
- Università degli Studi di Torino
- Regione Piemonte
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- Maslach Burnout Inventory-Human Services Survey, burnout, nurses, psychometric properties, factor structure, reliability statistics, Italian nurses, human service workers
- MeSH terms
- Burnout, Professional, Humans, Italy, Models, Psychological, Nurses, Psychometrics
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