不同版本的 Shirom-Melamed 职业倦怠测量法能否用于测量医护人员的职业倦怠?心理测量学特性系统回顾。

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Journal of Patient-Reported Outcomes Pub Date : 2024-09-26 DOI:10.1186/s41687-024-00788-8
Sabrina Figueiredo, Jacques Arrieux, Samia Abdallah, Timothy C McCall, Ulrich Koch, Eliezer Oliveira
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引用次数: 0

摘要

背景:医疗保健专业人员(HCP)的职业倦怠发生率很高。因此,制定可靠的措施来确定这一人群的职业倦怠至关重要。Shirom-Melamed 职业倦怠测量法是诊断职业倦怠和规划心理健康服务的常用工具。由 14 个项目组成的 Shirom-Melamed 职业倦怠测量(SMBM)是在对由 22 个项目组成的 Shirom-Melamed 职业倦怠问卷(SMBQ)进行方法修订后开发的。目前已有关于 SMBM 和 SMBQ 心理测量特性的研究,但仍需对其进行全面评估,以确定各项研究的方法质量。为了填补这一空白,本系统性综述旨在对医疗保健专业人员使用的不同版本的希罗姆-梅拉梅德职业倦怠测量/问卷(SMBM/Q)的测量特性进行严格评估:在四个数据库(PubMed、CINAHL、PsychINFO 和 Scopus)中搜索了有关所有版本的 SMBM/Q 在医护人员中的心理测量特性的研究。使用 COSMIN 偏差风险检查表对研究的方法学质量进行了评估。采用建议评估、发展和评价分级法(GRADE)对支持 SMBM 测量特性(EMP)的证据进行了综合:我们最终汇集了五篇研究文章。其中一项研究使用了 12 个项目的 SMBM,以评估其内容效度;两项研究使用了 14 个项目的 SMBM,而另外两项研究则使用了 22 个项目的 SMBM。有趣的是,每项研究都使用了不同语言的 SMBM,即英语/希伯来语、中文、法语、塞尔维亚语和瑞典语。结构效度、内部一致性和建构效度是 SMBM 最值得评估的测量属性。希伯来语和法语版本显示出较高的结构效度和内部一致性,而其余的效度报告则由于方法上的缺陷而显示出较低的效度:结论:根据 COSMIN 的指导方针,由于 SMBM 的内容有效性不足,因此不应将其用于临床目的,但随着研究的不断深入,SMBM 仍有很大的发展潜力。让重要的利益相关者参与概念激发,将确保 PRO 项目的相关性、全面性和可理解性。同样,建立 MIC 可以捕捉随时间推移而发生的变化,这将有利于纵向实验研究。职业倦怠是医护专业人员面临的一个重大问题,因此拥有一个可靠的工具来测量职业倦怠至关重要。Shirom-Melamed 职业倦怠测量法(SMBM)通常用于诊断职业倦怠和规划心理健康服务。目前已有关于 SMBM 心理测量特性的研究,但仍有必要对其进行全面评估,以评价各项研究的方法质量。为了弥补这一不足,本系统性综述对医护人员使用的不同版本的希罗姆-梅拉梅德职业倦怠测量法(SMBM)的测量特性进行了严格评估。我们的研究结果表明,只有少数研究对 SMBM 进行了研究,而且这些研究使用了不同语言的工具。结构效度、内部一致性和构造效度是 SMBM 最值得评估的测量属性。我们建议需要开展更多的研究来评估 SMBM 的内容效度。我们还建议,重要的利益相关者应参与到 SMBM 的开发中来,以确保其相关性、全面性和易理解性。
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Can the different versions of the Shirom-Melamed Burnout Measure be used to measure burnout among healthcare professionals? A systematic review of psychometric properties.

Background: The prevalence of Occupational Burnout is high among healthcare professionals (HCP). Hence, it is crucial to have robust measures for ascertaining burnout in this population. The Shirom-Melamed Burnout Measure is a prevalent tool used in the diagnosis of burnout, and in the delivery planning of mental health services. The 14-item Shirom-Melamed Burnout Measure (SMBM) was developed after a methodological revision of the 22-item Shirom-Melamed Burnout Questionnaire (SMBQ). Studies on the psychometric properties of the SMBM and SMBQ exist, but there remains a need for thorough evaluation to assess the methodological quality of individual studies. To address this gap, this systematic review aimed to critically appraise the measurement properties of the different versions of the Shirom-Melamed Burnout Measure/Questionnaire (SMBM/Q) used among healthcare professionals.

Methodology: Four databases (PubMed, CINAHL, PsychINFO, and Scopus) were searched for studies on the psychometric properties of all versions of the SMBM/Q among HCP. The methodological quality of the studies was evaluated using the COSMIN Risk of Bias checklist. Evidence supporting the measurement properties (EMP) of the SMBM was synthesized using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.

Results: Our final pool consisted of five research articles. One study on the 12-item SMBM was included to estimate content validity, two studies reported on the 14-item SMBM, while the other two employed the 22-item version. Interestingly, each study used the SMBM in a different language, namely English/Hebrew, Chinese, French, Serbian, and Swedish. Structural validity, internal consistency, and construct validity are the SMBM's most assessed measurement properties. The Hebrew and French versions demonstrated high levels of structural validity and internal consistency, and the remaining reports on validity demonstrated low levels due to methodological flaws.

Conclusions: Per COSMIN guidelines, the SMBM should not be utilized for clinical purposes due to insufficient content validity, but has promising potential with ongoing research. Engaging critical stakeholders for concept elicitation will ensure the relevance, comprehensiveness, and comprehensibility of the PRO items. Likewise, establishing an MIC will allow capturing change over time, which will benefit longitudinal experimental studies. Occupational burnout is a significant problem among healthcare professionals, and it is crucial to have a reliable tool to measure it. The Shirom-Melamed Burnout Measure (SMBM) is commonly used to diagnose burnout and plan mental health services. Studies on the psychometric properties of the SMBM exist, but there remains a need for thorough evaluation to assess the methodological quality of individual studies. To address this gap, this systematic review critically appraised the measurement properties of the different versions of the Shirom-Melamed Burnout Measure (SMBM) used among healthcare professionals. Our findings indicate that only a few studies have examined the SMBM, and they have used the tool in different languages. Structural validity, internal consistency, and construct validity are the SMBM's most assessed measurement properties. We recommend that more research is needed to assess the content validity of the SMBM. We also suggest that critical stakeholders should be involved in the development of the SMBM to ensure that it is relevant, comprehensive, and understandable.

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来源期刊
Journal of Patient-Reported Outcomes
Journal of Patient-Reported Outcomes Health Professions-Health Information Management
CiteScore
3.80
自引率
7.40%
发文量
120
审稿时长
20 weeks
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