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PROFESSIONAL PAPER
ABSTRACT
Introduction. The aim of this research was to investigate the presence and level
of relationship of burnout dimensions with perceived general self-efficacy in relation
to the length of service of nurses. Participants were nurse employees of a Cantonal
Hospital Dr.Irfan Ljubijanki Biha (N=102) who work directly with patients.
Materials and Methods. Maslach burnout inventory MBI-HSS. was used to test
burnout in the workplace. Generel self-efficacy was measured by a short version of
the original general self-efficacy scale by Schwarzer et al.
Conclusion. Research results indicate low level of burnout in the workplace with
a tendency towards moderate. More specifically, moderate emotional exhaustion,
low depersonalization and high personal accomplishment. Perecived self efficacy is
associated with depersonalisation (rs= -0.26, p<0.05) and personal accopmlishment
(rs =0.41, p<0.05), whilst intention to change profession is affected by perceived self
efficacy, emotional exhaustion and personal accomplishment.
Contact address:
Viktorija Beevi-omi
Telephone:++387 61 483 321
Email: vbesevic@hotmail.com
KEY WORDS:
burnout syndrome, self-efficacy, intention to change profession
DOI: 10.7251/SMD1401025B
Introduction
Burnout syndrome, as defined by Christina Maslach, one
of the most famous researchers of this phenomenon in the
United States, is psychological syndrome of emotional
exhaustion, depersonalization and reduced personal
accomplishment, which usually occurs in people who are
somehow working with other people.1 Thereby, emotional
exhaustion refers to feelings of emotional overload and
job exhaustion, while reduced personal accomplishment
and depersonalization relates to the negative evaluation
of the self and others. Medical professions are, due to
specific working environments, psychologically, emo
tionally and physically enormously demanding. Under
standing burnout and its impact on medical personnel
is important to all medical institutions in order to
appropriately approach, eliminate or mitigate existing
or prevent detrimental burnout effects which appear in a
form of physical or psychological health problems, work
inefficiency, lessened motivation to perform daily tasks,
worsening relations with work environment and low life
relation to the dimensions of burnout and perceived selfefficacy was also investigated.
Patients and Methods
A questionnaire with clear instructions about research
purpose and privacy policy was distributed to partici
pants. It has been noted that all individual data will be
protected, and not shared with participants superiors and
colleagues. The survey was voluntary and anonymous.
The questionnaire consisted of Maslach burnout invento
ry MBI-HSS 1, the general self-efficacy scale5 and demo
graphic questionnaire related to personal and social status
characteristics such as gender, age, education level and
work experience. In addition, respondents were asked
to estimate their personal intention to resign the pro
fession and most disturbing factors at their workplace.
After establishing satisfactory psychometric properties
of the scales and performing descriptive analysis, due
to the asymmetry of the distribution of the collected da
ta, Spearmans Rank correlation coefficient and Mann
Whitney U test was used.
Maslach burnout inventory MBI-HSS (Maslach Burnout
Inventory for Human Service Survey) consists of 22
items phrased as statements about personal feelings
and attitudes, which is self-scored on a seven-point fre
quency scale, ranging from 0 (never) to 6 (every day).
The three subscales of the MBI-HSS include Emotional
Exhaustion (nine items; e.g. I feel burned out from my
work.), Depersonalization (five items; e.g. I feel I treat
some recipients as if they were impersonal objects), and
Personal Accomplishment (eight items; e.g. I have accom
plished many worthwhile things in this job). High scores
on Emotional Exhaustion and Depersonalization and
low scores on Personal Accomplishment are indicative of
burnout. The subscales represent a related (EE-Emotional
Exhaustion and DP- Depersonalization) and independent
(PA-Personal Accomplishment) but separate multidimen
sional concept of the burnout construct.
The scale of general self-efficacy measures general and sta
ble sense of personal efficacy in dealing with a variety of
Table 1. Results of the Mann Whitney U-test regarding burnout dimensions, perceived self- efficacy and intention to change
profession among nurses
Burnout dimensions
34
23.54
Yes
11
21.32
No
34
23.62
Yes
20
34.10
Midle rank
23.50
24.29
21.45
32.95
Midle rank
24.34
34.25
0.000** 0.042*
No
0.667
Midle rank
0.044
High
Personal
accomplishment
Depersonalization
0.630
Low
Emotional Exhaustion
0.018*
Intention to change
profession
18.86
16.02
27
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Scripta Medica
Vol. 45 No 1 May 2014. www.scriptamedica.com
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