Burnout Research 1 (2014) 103–111
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Burnout Research
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Research Article
Maslach Burnout Inventory – General Survey: Factorial validity and
invariance among Romanian healthcare professionals
Mara Bria
a,∗
, Florina Spânu
a
, Adriana B˘ aban
a
, Dan L. Dumitras ¸ cu
b
a
Psychology Department, Babes ¸ – Bolyai University Cluj-Napoca, Romania
b
Medical II Department, University of Medicine and Pharmacy “Iuliu Hat ¸ ieganu”, Cluj-Napoca, Romania
a r t i c l e i n f o
Article history:
Received 31 January 2014
Received in revised form 2 September 2014
Accepted 4 September 2014
Keywords:
Maslach Burnout Inventory – General
Survey
Confirmatory factor analysis
Multigroup invariance
Healthcare professionals
a b s t r a c t
This study tested the dimensionality of the Maslach Burnout Inventory – General Survey (MBI-GS) on
a sample of 1190 Romanian healthcare professionals from three county hospitals. Data provided evi-
dence to support the hypothesised three-factor model after removing one item from the cynicism scale:
2
(86) = 432.29, CFI = .94, GFI = .95, NFI = .93, and RMSEA = .05. Results of multigroup analysis confirmed
the invariance of the 15 items model across professional role, gender, age, and organisational tenure.
Structural equation modeling results proved specific relations between occupational factors and burnout
dimensions. Our results have practical implications for future research on burnout using the MBI-GS
among samples of healthcare professionals.
© 2014 The Authors. Published by Elsevier GmbH. This is an open access article under the CC
BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
1. Introduction
The use of translated instruments in different national or pro-
fessional cultures in the absence of a systematic evaluation of their
psychometric properties hampers cross-studies comparisons. The
current research has two main objectives. First, it proposes to
test the factorial validity and invariance of the Maslach Burnout
Inventory – General Survey (MBI-GS) on a sample of 1190 Roma-
nian healthcare professionals. We aim to test the invariance of the
MBI-GS across professional role, gender, age, and organisational
tenure. Second, specific relations between burnout dimensions
and relevant occupational factors will be investigated by means
of structural equation modeling.
1.1. Maslach Burnout Inventory
The most influential burnout definition describes burnout as a
three dimensional construct composed of emotional exhaustion,
This research was financially supported by the Sectoral Operational Program for
Human Resources Development via the POSDRU contract 88/1.5/S/56949 – “Reform
project of the doctoral studies in medical sciences: an integrative vision from finan-
cing and organisation to scientific performance and impact”.
∗
Corresponding author at: Psychology Department, Babes ¸ – Bolyai University, 37
Republicii Street, 400015 Cluj-Napoca, Romania. Tel.: +40 740084303.
E-mail addresses: marabria@psychology.ro, maramarinca@gmail.com (M. Bria),
florinaspanu@psychology.ro (F. Spânu), adrianababan@psychology.ro (A. B˘ aban),
ddumitrascu@umfcluj.ro (D.L. Dumitras ¸ cu).
depersonalisation, and professional efficacy (Maslach, Schaufeli,
& Leiter, 2001). The standard measuring instrument (Schaufeli &
Buunk, 2003) is the Maslach Burnout Inventory (MBI) which cur-
rently has three distinct versions in use. Early research on burnout
described it as a syndrome characterising professions that involve
demanding interpersonal interactions (Maslach et al., 2001). Thus
the first two forms were addressed to healthcare profession-
als: Human Services Survey (MBI-HSS) (Maslach & Jackson, 1981,
1986) and teachers: Educators Survey (MBI-ES) (Maslach & Jackson,
1986). Both MBI-HSS and MBI-ES became widely used and their
factorial validity has often been tested with studies offering diver-
gent results. The MBI-HSS’ three-factor structure has been validated
on samples of healthcare professionals (Hallberg & Sverke, 2004)
and social workers (Kim & Ji, 2009). Other studies reported find-
ings of a two (Kalliath, O’Driscoll, Gillespie, & Bluedorn, 2000), or
a five factors structure (Densten, 2001). Moreover, empirical data
suggested that the initial three-factor structure had a better fit if
some of the items were excluded (Poghosyan, Aiken, & Sloane,
2009; Schaufeli & Van Dierendonck, 1993; Vanheule, Rosseel, &
Vlerick, 2007) or if some items were allowed to load on different
dimensions than those hypothesised in the initial model (Gorter,
Albrecht, Hoogstraten, & Eijkman, 1999). The three-factor struc-
ture of MBI-ES was confirmed in samples of primary (Gold, Roth,
Wright, Michael, & Chin-Yi, 1992) and secondary education tea-
chers (Schaufeli, Daamen, & Van Mierlo, 1994). Other studies found
good fit for a two-factor model with emotional exhaustion and
depersonalisation merged into one dimension (Holland, Michael, &
Kim, 1994). Byrne’s studies (Byrne, 1991, 1993, 1994) confirmed the
http://dx.doi.org/10.1016/j.burn.2014.09.001
2213-0586/© 2014 The Authors. Published by Elsevier GmbH. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/
by-nc-nd/3.0/).