It was first introduced in a survey of HMO physicians by Schmoldt and colleagues, 38 and has also been used in the Physician Work Life Study, 39 the Minimizing Error, Maximizing Outcome (MEMO) study, 40 and the Mississippi Workforce Study. 41 Rohland and colleagues compared this single-item version with the full MBI-HSS in a cohort of 307 Texas medical school graduates, 42 and Hansen and Girgis compared the two versions in a survey of 740 Australian oncology health care professionals that included physicians and nurses, among others. 43 Despite the differences in sample size and populations, the psychometric findings in these two studies were almost identical: the ANOVA R 2 between the MBI:EE subscale and the non-proprietary single-item burnout measure was 0.50 in both, while the simple correlation (r) between the two measures was 0.64 in the study by Rohland and colleagues 42 and 0.68 in Hansen and Girgis study. 43 They both concluded that this single-item measure of burnout could be effectively used as an alternative to the MBI:EE to screen for burnout, especially where emotional exhaustion was the primary subscale of interest and a shorter survey was needed.Published online 2014 Dec 2.
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