title: Methodological considerations when translating "burnout"
abstract: No study has systematically examined how researchers address cross-cultural adaptation of burnout. We conducted an integrative review to examine how researchers had adapted the instruments to the different contexts. We reviewed the Content Validity Indexing scores for the Maslach Burnout Inventory-Human Services Survey from the 12-country comparative nursing workforce study, RN4CAST. In the integrative review, multiple issues related to translation were found in existing studies. In the cross-cultural instrument analysis, 7 out of 22 items on the instrument received an extremely low kappa score. Investigators may need to employ more rigorous cross-cultural adaptation methods when attempting to measure burnout.
authors.affiliation: College of Nursing, New York University, USA.
authors.forename: Allison
authors.initials: A
authors.lastname: Squires
authors.affiliation: College of Nursing, New York University, USA.
authors.forename: Catherine
authors.initials: C
authors.lastname: Finlayson
authors.affiliation: College of Nursing, New York University, USA.
authors.forename: Lauren
authors.initials: L
authors.lastname: Gerchow
authors.affiliation: NJ Collaborating Center for Nursing, Rutgers University College of Nursing, USA.
authors.forename: Jeannie P
authors.initials: JP
authors.lastname: Cimiotti
authors.affiliation: School of Nursing & Human Sciences, Dublin City University, Ireland.
authors.forename: Anne
authors.initials: A
authors.lastname: Matthews
authors.affiliation: University of Basel, Institute of Nursing Science, Switzerland.
authors.forename: Rene
authors.initials: R
authors.lastname: Schwendimann
authors.affiliation: Centre for Innovation and Leadership in Health Sciences, University of Southampton, England, United Kingdom.
authors.forename: Peter
authors.initials: P
authors.lastname: Griffiths
authors.affiliation: Lehrstuhl Management im Gesundheitswesen/Department of Health Care Management - WHO Collaborating Centre for Health Systems Research and Management, Technische Universitaet Berlin, Germany.
authors.forename: Reinhard
authors.initials: R
authors.lastname: Busse
authors.affiliation: IQ Healthcare, Radboud University Medical Center, Nursing Science & Allied Healthcare Division, Nijmegen, The Netherlands.
authors.forename: Maude
authors.initials: M
authors.lastname: Heinen
authors.affiliation: Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Brzostek
authors.affiliation: Nursing and Healthcare Research Unit (Investén-isciii), Spanish Department of Health, Madrid, Spain.
authors.forename: Maria Teresa
authors.initials: MT
authors.lastname: Moreno-Casbas
authors.affiliation: School of Nursing, University of Pennsylvania, USA ; RN4CAST, Spain.
authors.forename: Linda H
authors.initials: LH
authors.lastname: Aiken
authors.affiliation: RN4CAST, Spain ; Program Director Master in Healthcare Management & Nursing Science Centre for Health Services & Nursing Research Catholic University Leuven, Belgium.
authors.forename: Walter
authors.initials: W
authors.lastname: Sermeus
keywords: Burnout; Content Validity Indexing; Cross-cultural instrument adaptation; Europe; Human resources for health; Language translation; Nurses; Nursing