Psychology, 2017, 8, 1019-1041
http://www.scirp.org/journal/psych
ISSN Online: 2152-7199
ISSN Print: 2152-7180
DOI: 10.4236/psych.2017.87067 May 22, 2017
Only One Burnout Estimator Is Consistently
Associated with Health Care Providers’
Perceptions of Job Demand and Resource
Problems
Jan Beckstrand, Nancy Yanchus
*
, Katerine Osatuke
Health Administration National Center for Organizational Development, Cincinnati, OH, USA
Abstract
Five “high” burnout estimators are in common use. Each is based on a differ-
ent subset of the three aspects of “Burnout Syndrome”, so each gives a differ-
ent estimate of the “high” burnout prevalence in a population. Managers often
don’t know these prevalences are incomparable. Managers also have little spe-
cific information on how their institution’s burnout measure is associated
with their employees’ perceptions of problems in job demands and resources
in their work environment, as regularly queried in organizational health sur-
veys. In the current study, we demonstrated the differences in the prevalences
of “high” burnout obtained using each of five “high” burnout estimators. We
also evaluated and compared the five burnout estimators’ associations with
employee-perceived problems in each of 31 areas of job demands and re-
sources in human-systems functioning. We measured these associations by
how much more the aspects of burnout queried in the estimator were re-
ported by those who perceived a problem than by those who did not (the pos-
itive likelihood ratio, LR+). We examined five types of physicians (6599),
nurse practitioners (2158) and physician assistants (786). We found that four
of the “high” burnout estimators showed few associations with employee per-
ceptions of problems in job demands or resources, but one estimator—the
trivariate joint occurrence of “high” (i.e. frequent) emotional exhaustion,
“high” depersonalization and “low” sense of personal accomplishment (meas-
ured by well-validated single-item surrogates for the three Maslach Burnout
Inventory subscales)—was clinically significantly associated with 97% (30) of
the problems in job demands and resources studied, in at least one of the
health provider groups. Our results challenge the current preference for
“high” emotional exhaustion dominated “high” burnout estimators.
How to cite this paper: Beckstrand, J.,
Yanchus, N., & Osatuke, K. (2017). Only
One Burnout Estimator Is Consistently
Associated with Health Care Providers’
Perceptions of Job Demand and Resource
Problems. Psychology, 8, 1019-1041.
https://doi.org/10.4236/psych.2017.87067
Received: March 6, 2017
Accepted: May 19, 2017
Published: May 22, 2017
Copyright © 2017 by authors and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access