Burnout among Lebanese nurses: Psychometric properties of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS)


Background: Burnout is a mental condition defined as a result of continuous and long-term stress exposure, particularly related to psychosocial factors at work. This paper aims to examine the psychometric properties of the Maslach Burnout Questionnaire (MBI-HSS) for validation of use in Lebanon, and to describe burnout and associated factors amongst nurses in Lebanon especially the gender and employment sector. Methods: The psychometric properties of the Arabic version of MBI-HSS were studied amongst a sample of 200 nurses. In this descriptive study, survey data were collected from private and public hospitals. The data were analyzed by means of descriptive statistics and multivariate analysis. Results: The results indicated satisfactory reliability through internal consistency for all three scales of the MBI-HSS. The factor analysis was quite satisfactory. Most of staff had scores which indicated they were burnt out. Nearly three quarters (77.5%) reported emotional exhaustion, 36.0% reported depersonalization while almost one third (33.0%) experienced reduced personal accomplishment. Burnout increases for 30-39 years age groups. Married nurses had significantly higher emotional exhaustion. Depersonalization was highest among nurses in private sector, and personal accomplishment was highest among nurses in public sector. Depersonalization proved to be higher in night and rotating shift nurses. Depression, backache, and headache were predictors of burnout. Conclusion: Findings indicate that the main psychometric properties of reliability and validity of the Arabic version of MBI-HSS appear to be satisfactory. Burnout is particularly prominent and severe in the nurses working population. The implications of these findings for interventions that reduce burnout and promote nursing mental health are therefore in the interest of employers, governments and policy makers.

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Sabbah, I. , Sabbah, H. , Sabbah, S. , Akoum, H. and Droubi, N. (2012) Burnout among Lebanese nurses: Psychometric properties of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Health, 4, 644-652. doi: 10.4236/health.2012.49101.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Abushaikha, L. and Saca-Hazboun, H. (2009) Job satisfaction and burnout among Palestinian nurses. Eastern Mediterranean Health Journal, 15, 190-197.
[2] Spoor, E., de Jonge, J. and Hamers, J.P.H. (2010) Design of the DIRECT-project: Interventions to increase job resources and recovery opportunities to improve job-related health, well-being, and performance outcomes in nursing homes. BMC Public Health, 10, 293. doi:10.1186/1471-2458-10-293
[3] Maslach, C., Jackson, S.E., Leiter, M.P., Schaufeli, W.B. and Schwab R.L. (1986) Maslach burnout inventory sampler set manual, general survey, human services survey, educators survey, & scoring guides. Mind Garden Publishers, Menlo Park. http://www.mindgarden.com
[4] Marin, M. and Campayo, G.A. (2010) A newer and broader definition of burnout: Validation of the “burnout clinical subtype questionnaire (BCSQ-36). BMC Public Health, 10, 302. http://www.biomedcentral.com/1471-2458/10/302
[5] Gulalp, B., Karcioglu, O., Sari, A. and Koseoglu, Z. (2008) Burnout: Need help? Journal of Occupational Medicine and Toxicology, 3, 32. doi:10.1186/1745-6673-3-32
[6] Landa, J.M.A. and López-Zafra, E. (2010) The impact of emotional intelligence on nursing: An overview. Psychology, 1, 50-58. http://www.SciRP.org/journal/psych
[7] Galanakis, M. (2009) Factorial structure and psychometric properties of the maslach burnout inventory (MBI) in Greek midwives. Europe’s Journal of Psychology, 4, 52-70. http://www.ejop.org
[8] Vercambre, M.N., Brosselin, P., Gilbert, F., Nerrière, E. and Kovess-Masféty, V. (2009) Individual and contextual covariates of burnout: A cross-sectional nationwide study of French teachers. BMC Public Health, 9, 333. doi:10.1186/1471-2458-9-333
[9] Hilton, M.F. and Whiteford, H.A. (2010) Interacting with the public as a risk factor for employee psychological distress. BMC Public Health, 10, 435. doi:10.1186/1471-2458-10-435
[10] Canou?, P. and Mauranges, A. (2008) Le burn out a l’hopital. Le syndrome d’epuisement professionnel des soignants. 4th Edition, Elsevier Masson SAS, Paris.
[11] Lauvrud, C., Nonstad, K. and Palmstierna, T. (2009) Occurrence of post traumatic stress symptoms and their relationship to professional quality of life (ProQoL) in nursing staff at a forensic psychiatric security unit: A cross-sectional study. Health and Quality of Life Outcomes, 7, 31. doi:10.1186/1477-7525-7-31
[12] Maslach, C., Jackson, S.E., Leiter, M.P., Schaufeli, W.B. and Schwab, R.L. (1986) Maslach burnout inventory instruments and scoring guides forms: General, human services, & educators. Health and Quality of life Outcomes, 7, 31. http://www.mindgarden.com
[13] Montero-Marín, J., García-Campayo, J., Mera, D.M. and. del Hoyo, Y.L. (2009) A new definition of burnout syndrome based on Farber’s proposal. Journal of Occupational Medicine and Toxicology, 4, 31. doi:10.1186/1745-6673-4-31
[14] Quenot, J.P., Rigaud, J.P., Prin, S., Barbar, S., Pavon, A. and Hamet, M. (2012) Suffering among carers working in critical care can be reduced by an intensive. Intensive Care Medine, 38, 55-61.
[15] Lundgren-Nilsson, A., Jonsdottir, I.H., Pallant, J., Ahlborg Jr., G. (2012) Internal construct validity of the shirom-melamed burnout questionnaire (SMBQ). BMC Public Health, 12, 1. doi:10.1186/1471-2458-12-1
[16] Karlson, B., J?nsson, P., P?lsson, B., ?bj?rnsson, G., Malmberg, B., Larsson, B. and ?sterberg, K. (2010) Returnrto work after a workplace-oriented intervention for patients on sick-leave for burnout a prospective controlled study. BMC Public Health, 10, 301. http://www.biomedcentral.com/1471-2458/10/301.
[17] Makary, M., Sexton, J., Syin, D., Feischlag, J., Holzmueller, C., Millman, A., Rowen, L. and Pronovost, P. (2006) Operating room teamwork among physicians and nurses: Teamwork in the eye of the beholder. Journal of American College of Surgeons, 202, 746-752. doi:10.1016/j.jamcollsurg.2006.01.017
[18] Lei, W., Hee, K.Y. and Dong, W. (2010) A review of research and strategies. British Journal of Nursing, 19, 844-850.
[19] Bou Antoun, R. And Salameh, P. (2009) La satisfaction des pharmaciens au Liban et la perspective de la pharmacie clinique. Eastern Mediterranean Health Journal, 15, 1553-1563.
[20] Patrick, K. and Lavery, J.F. (2007) Burnout in nursing. Australian Journal of Advanced Nursing, 24, 43-48.
[21] Cunradi, C.B., Lipton, R. and Banerjee, A. (2007) Occupational correlates of smoking among urban transit operators: A prospective study. Substance Abuse Treatment, Prevention, and Policy, 2, 36. doi:10.1186/1747-597X-2-36
[22] Browning, L., Ryan, C.S., Thomas, S., Greenberg, M. and Rolniak, S. (2007) Nursing specialty and burnout. Psychology, Health & Medicine, 12, 248-254. doi:10.1080/13548500600568290
[23] Moulou, A., Giotakis, K., Zoumakis, E. and Ilias, I. (2009) Alexithymia and its association with burnout, depression and family support among Greek nursing staff. Human Resources for Health, 7, 72.
[24] Harwood, L., Ridley, J., Wilson, B. and Laschinger, H.K. (2010) Workplace empowerment and burnout in Canadian nephrology nurses. The CANNT Journal, 20, 12-17.
[25] Koivula, M., Paunonen, M. and Laippala P. (2000) Burnout among nursing staff in two Finnish hospitals. Journal of Nursing Management, 8, 149-158. doi:10.1046/j.1365-2834.2000.00167.x
[26] El-Jardali, F., Dumit, N., Jamal, D. and Mouro, G. (2008) Migration of lebanese nurses:A questionnaire survey and secondary data analysis. International Journal of Nursing Studies, 45, 1490-1500. doi:10.1016/j.ijnurstu.2007.10.012
[27] Aylé, G.K. (2011). Empowering nursing role in decision-making. Medhealth, Beyrouth, Habtoor Hotel.
[28] Haroun, S. (2008) Nurses: The heartbeat of hospitals. American University of Beirut, Beirut. http://www.syndicateofhospitals.org.lb/publication/Nurses%20the%20Heartbeat%20of%20Hospitals.pdf.
[29] El-Jardali, F., Dimassi, H., Dumit, N., Jamal, D. and Mouro, G. (2009) A national cross-sectional study on nurses’ intent to leave and job satisfaction in Lebanon: Implications for policy and practice. BMC Nursing, 8, 3. doi:10.1186/1472-6955-8-3
[30] Sabbah, I., Drouby, N., Sabbah, S., Retel-Rude, N. and Mercier, M. (2003) Quality of Life in rural and urban populations in Lebanon using SF-36 Health Survey. Health and Quality of Life Outcomes, 1, 30. doi:10.1186/1477-7525-1-30
[31] Nunnally, J.C. and Bernstein, I.H. (1994) Psychometric theory. 3rd Edition, McGraw-Hill, New York, 1994.
[32] Mandhouj, O., Etter, J.-F., Courvoisier, D. and Aubin, H.-J. (2012). French-language version of the World Health Organization quality of life. Health and Quality of Life Outcomes, 10, 39. doi:10.1186/1477-7525-10-39
[33] ?nder, C. and Basim, N. (2008) Examination of developmental models of occupational burnout using burnout profiles of nurses. Journal of Advanced Nursing, 64, 514-523. doi:10.1111/j.1365-2648.2008.04818.x
[34] Bogaert, P. V., Clarke, S., Roelant, E., Meulemans, H. and Van de Heyning, P. (2009) Impacts of unit-level nurse practice environment and burnout on nurse-reported outcomes: A multilevel modelling approach. Journal of Clinical Nursing, 19, 1664-1674. doi:10.1111/j.1365-2702.2009.03128.x
[35] Landa, J. and López-Zafra, E. (2010) The impact of emotional intelligence on nursing: An overview. Psychology, 1, 50-58. doi:10.4236/psych.2010.11008
[36] Jermendy, G., Nadas, J., Hegyi, I., Vasas, I. and Hidvegi, T. (2012) Assessment of cardiometabolic risk among shift workers in Hungary. Health and Quality of Life Outcomes, 10, 18. doi:10.1186/1477-7525-10-18
[37] Sabbah, I., Vuitton, D.-A., Droubi, N., Sabbah, S. and Mercier, M. (2007) Morbidity and associated factors in rural and urban populations of South Lebanon: A cross-sectional community-based study of self-reported health in 2000. Tropical Medicine and International Health, 12, 907-919. doi:10.1111/j.1365-3156.2007.01886.x
[38] Bollinger, M., Power, M.J., Aaronson, N.K., Cella, D.F. and Anderson, R.T. (1996) Creating and evaluating cross-cultual instruments. In: Spilker, B., Ed., Quality of Life and Pharmacoecoeconomics in Clinical Trials, 2nd Edition, Lippincott-Raven Publishers, Philadelphia, 659-668.
[39] Helkavaara, M., Saastamoinen, P. and Lahelma, E. (2011) Psychosocial work environment and emotional. BMC Research Notes, 4, 101. doi:10.1186/1756-0500-4-101
[40] Pape, H.-C. and Pfeifer, R. (2009) Restricted duty hours for surgeons and impact on residents quality. Patient Safety in Surgery, 3, 3. http://www.pssjournal.com/content/3/1/3

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