An Evaluation of the Performance of Five Burnout Screening Tools: A Multicentre Study in Anaesthesiology, Intensive Care, and Ancillary Staff

Burnout is an important occupational hazard and early detection is paramount in preventing negative sequelae in physicians, patients, and healthcare systems. Several screening tools have been developed to replace lengthy diagnostic tools for large-scale screening, however, comprehensive head–to–head...

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Autores principales:	John Ong, Wan Yen Lim, Kinjal Doshi, Man Zhou, Ban Leong Sng, Li Hoon Tan, Sharon Ong
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	burnout burn out stress screening diagnosis Medicine R
Acceso en línea:	https://doaj.org/article/3e5443906a7e4acb8da63496d89e5b0b
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spelling	oai:doaj.org-article:3e5443906a7e4acb8da63496d89e5b0b2021-11-11T17:30:24ZAn Evaluation of the Performance of Five Burnout Screening Tools: A Multicentre Study in Anaesthesiology, Intensive Care, and Ancillary Staff10.3390/jcm102148362077-0383https://doaj.org/article/3e5443906a7e4acb8da63496d89e5b0b2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4836https://doaj.org/toc/2077-0383Burnout is an important occupational hazard and early detection is paramount in preventing negative sequelae in physicians, patients, and healthcare systems. Several screening tools have been developed to replace lengthy diagnostic tools for large-scale screening, however, comprehensive head–to–head evaluation for performance and accuracy are lacking. The primary objective of this study was to compare the diagnostic performance of five burnout screening tools, including a novel rapid burnout screening tool (RBST). This was a cross-sectional study involving 493 hospital staff (anaesthesiology and intensive care doctors, nurses, and ancillary staff) at the COVID-19 frontline across four hospitals in Singapore between December 2020 and April 2021. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used as the reference standard. Five burnout screening tools, the single-item MBI measure of burnout (SI-MBI), dual-item MBI (DI-MBI), abbreviated MBI (aMBI), Single Item Burnout Question (SIBOQ), and the RBST, were administered via a 36-item online survey. Tools were administered simultaneously and responses were anonymised. Burnout prevalence was 19.9%. The RBST and the SI-MBI had the two highest accuracies (87.8% and 81.9% respectively) and AUROC scores (0.86, 95% CI: 0.83–0.89 and 0.86, 95% CI: 0.82–0.89 respectively). However, the accuracy of the RBST was significantly higher than the SI-MBI (<i>p</i> < 0.0001), and it had the highest positive likelihood ratio (+LR = 7.59, 95% CI 5.65–10.21). Brief screening tools detect burnout albeit with a wide range of accuracy. This can strain support services and resources. The RBST is a free screening tool that can detect burnout with a high degree of accuracy.John OngWan Yen LimKinjal DoshiMan ZhouBan Leong SngLi Hoon TanSharon OngMDPI AGarticleburnoutburn outstressscreeningdiagnosisMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4836, p 4836 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	burnout burn out stress screening diagnosis Medicine R
spellingShingle	burnout burn out stress screening diagnosis Medicine R John Ong Wan Yen Lim Kinjal Doshi Man Zhou Ban Leong Sng Li Hoon Tan Sharon Ong An Evaluation of the Performance of Five Burnout Screening Tools: A Multicentre Study in Anaesthesiology, Intensive Care, and Ancillary Staff
description	Burnout is an important occupational hazard and early detection is paramount in preventing negative sequelae in physicians, patients, and healthcare systems. Several screening tools have been developed to replace lengthy diagnostic tools for large-scale screening, however, comprehensive head–to–head evaluation for performance and accuracy are lacking. The primary objective of this study was to compare the diagnostic performance of five burnout screening tools, including a novel rapid burnout screening tool (RBST). This was a cross-sectional study involving 493 hospital staff (anaesthesiology and intensive care doctors, nurses, and ancillary staff) at the COVID-19 frontline across four hospitals in Singapore between December 2020 and April 2021. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used as the reference standard. Five burnout screening tools, the single-item MBI measure of burnout (SI-MBI), dual-item MBI (DI-MBI), abbreviated MBI (aMBI), Single Item Burnout Question (SIBOQ), and the RBST, were administered via a 36-item online survey. Tools were administered simultaneously and responses were anonymised. Burnout prevalence was 19.9%. The RBST and the SI-MBI had the two highest accuracies (87.8% and 81.9% respectively) and AUROC scores (0.86, 95% CI: 0.83–0.89 and 0.86, 95% CI: 0.82–0.89 respectively). However, the accuracy of the RBST was significantly higher than the SI-MBI (<i>p</i> < 0.0001), and it had the highest positive likelihood ratio (+LR = 7.59, 95% CI 5.65–10.21). Brief screening tools detect burnout albeit with a wide range of accuracy. This can strain support services and resources. The RBST is a free screening tool that can detect burnout with a high degree of accuracy.
format	article
author	John Ong Wan Yen Lim Kinjal Doshi Man Zhou Ban Leong Sng Li Hoon Tan Sharon Ong
author_facet	John Ong Wan Yen Lim Kinjal Doshi Man Zhou Ban Leong Sng Li Hoon Tan Sharon Ong
author_sort	John Ong
title	An Evaluation of the Performance of Five Burnout Screening Tools: A Multicentre Study in Anaesthesiology, Intensive Care, and Ancillary Staff
title_short	An Evaluation of the Performance of Five Burnout Screening Tools: A Multicentre Study in Anaesthesiology, Intensive Care, and Ancillary Staff
title_full	An Evaluation of the Performance of Five Burnout Screening Tools: A Multicentre Study in Anaesthesiology, Intensive Care, and Ancillary Staff
title_fullStr	An Evaluation of the Performance of Five Burnout Screening Tools: A Multicentre Study in Anaesthesiology, Intensive Care, and Ancillary Staff
title_full_unstemmed	An Evaluation of the Performance of Five Burnout Screening Tools: A Multicentre Study in Anaesthesiology, Intensive Care, and Ancillary Staff
title_sort	evaluation of the performance of five burnout screening tools: a multicentre study in anaesthesiology, intensive care, and ancillary staff
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/3e5443906a7e4acb8da63496d89e5b0b
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An Evaluation of the Performance of Five Burnout Screening Tools: A Multicentre Study in Anaesthesiology, Intensive Care, and Ancillary Staff

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