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"tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "214" "paginaFinal" => "215" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Sergio Dominguez-Lara, Manuel Fernández-Arata" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Sergio" "apellidos" => "Dominguez-Lara" "email" => array:2 [ 0 => "sdominguezmpcs@gmail.com" 1 => "sdominguezl@usmp.pe" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Manuel" "apellidos" => "Fernández-Arata" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Universidad de San Martín de Porres, Lima, Peru" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Cuestionario breve de Burnout, ¿una elección adecuada?" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Short instruments (2 or 3 items per dimension) have recently come back into favour, and they are increasingly used in contexts where urgency is important. Although they have methodological limitations (low reliability) as well as conceptual weaknesses (as they do not significantly cover the construct they evaluate) it is feasible to use them if they have acceptable psychometric properties. These properties include a good internal structure (with robust and clearly differentiated factors) as well as reliability (with an acceptable level of measurement error). Nespereira-Campuzano and Vázquez-Campo<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">1</span></a> used a short instrument to evaluate Burnout syndrome (BS), the short Burnout questionnaire (SBQ<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">2</span></a>). However, certain aspects relating to its psychometric properties and the potential consequences of using it should be mentioned.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Although some studies which use the SBQ allege that it achieves a suitable level of reliability (<span class="elsevierStyleItalic">α</span><span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>.70)<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">3</span></a> or convergence with the MBI (<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>.6),<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">4</span></a> a different panorama emerges when the original source is reviewed<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">2</span></a>: (1) Its dimensionality is unconfirmed, given that an exploratory procedure was used, including a depersonalisation item (D) emotional tiredness (ET), and a small sample size (n<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>150); (2) Although levels of reliability are suitable for ET (<span class="elsevierStyleItalic">α</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>.822; CI 95%: .761–.869), this is not the case for personal fulfilment (PF) (<span class="elsevierStyleItalic">α</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>.6455; CI 95%: .539–.732) and depersonalisation (D) (<span class="elsevierStyleItalic">α</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>.346; CI 95%: .194–.482), where the total <span class="elsevierStyleItalic">α</span> referred to repeatedly (<span class="elsevierStyleItalic">α</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>.7413; CI 95%: .658–.807) (the confidence intervals were recalculated), and (3) The correlation between the total scores of the MBI and SBQ amount to 0.6881, but at the dimensions level only the association between SBQ<span class="elsevierStyleInf">ET</span> and MBEI<span class="elsevierStyleInf">T</span> may stand out (<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>.7215), giving an opposite panorama between SBQ<span class="elsevierStyleInf">D</span> and MBI<span class="elsevierStyleInf">D</span> (<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>.2866) and SBQ<span class="elsevierStyleInf">PF</span> and MBI<span class="elsevierStyleInf">PF</span> (<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>.1173).</p><p id="par0015" class="elsevierStylePara elsevierViewall">To summarise: (1) There is no basis for the use of a total score, given that the BS is a multidimensional construct, or that at least no hierarchical models were evaluated (e.g., bifactor ones) to justify this; (2) Regarding its CI, the measurement error is high in all of the dimensions, and (3) Respecting its relationship with the MBI, there are no signs that the shared variance will be significant in 2 of the 3 dimensions, i.e., that the constructs both instruments evaluate seem to be <span class="elsevierStyleItalic">different</span>.</p><p id="par0020" class="elsevierStylePara elsevierViewall">If the total score of the SBQ is used in this case, the study by Nespereira-Campuzano and Vázquez-Campo would add more error variance than is permissible. I.e., the score obtained would be contaminated by other factors (known or not) that do not correspond to the BS but which are interpreted as if they did. This would affect the <span class="elsevierStyleItalic">validity of the interpretation</span> and therefore the conclusions. In turn, this situation may explain why the correlations shown between emotional intelligence (EI) and the dimensions of the BS contradict what is consistently said in the literature: as well as showing an inverse correlation, EI is a protective factor against BS in healthcare professionals.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">5–7</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">More attention is being paid now to the use of psychological instruments due to the consequences of this use, positive or negative, for those examined. This attention is maximum when variables are included that are associated with relevant problems that have harmful results for individuals over the medium to long term. In this situation, the evaluation of BS may be considered to be a critical matter, as it classifies individuals (e.g., as having <span class="elsevierStyleItalic">high</span> levels of burnout) based on an instrument with questionable psychometric properties. This may lead to false positives (or false negatives); or, in other words individuals who have not really developed BS would be considered <span class="elsevierStyleItalic">persons at risk</span>, giving rise to organisational and personal costs due to interventions. In the same way, the current state of individuals with an <span class="elsevierStyleItalic">average</span> or <span class="elsevierStyleItalic">low</span> level may not be corroborated by an interview.</p><p id="par0030" class="elsevierStylePara elsevierViewall">If as well as BS the SBQ evaluated its causes and consequences, indicating its association with errors in nursing practice that harm patients, professionals themselves and organisations, the implications for the interpretation and erroneous use of the results may multiply.</p><p id="par0035" class="elsevierStylePara elsevierViewall">To conclude, the selection of a measurement instrument must be based on established criteria, with the aim of obtaining reliable results that make it possible to draw valid conclusions. This will not only consolidate the resulting contribution to scientific knowledge, but will also avoid interpretations that may lead to inappropriate decisions.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Dominguez-Lara S, Fernández-Arata M. Cuestionario breve de Burnout, ¿una elección adecuada? 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Letter to the Editor
Short questionnaire on Burnout, an appropriate choice?
Cuestionario breve de Burnout, ¿una elección adecuada?
Sergio Dominguez-Lara
, Manuel Fernández-Arata
Corresponding author
Universidad de San Martín de Porres, Lima, Peru