Early career burnout among Dutch nurses: A process captured in a Rasch model

Jan Alexander de Vos*, André Brouwers, Tineke Schoot, Ron Pat-El, Peter Verboon, Gérard Näring

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review


    This study investigates burnout among Dutch nursing graduates as a process by testing a sequential-developmental model. A sample of 237 respondents was recruited from a population of Dutch early career nurses. Burnout was measured with the Dutch version of the Maslach Burnout Inventory Human Services Survey (MBI-HSS, Maslach & Jackson, 1981; Schaufeli & van Dierendonck, 2000). First, the dimensionality was tested with confirmatory factor analysis. A resulting one-dimensional model with exhaustion and depersonalisation was then analysed using a Rasch rating scale measurement model. Rasch analysis showed that these data adhered well to a sequential-developmental model. Burnout among early career nurses may be operationalized as a process that starts with fatigue as a result of strain and ends with severe exhaustion and depersonalisation towards patients. Personal accomplishment develops relatively independently. A separate Rasch analysis on the personal accomplishment items revealed a scale with almost similar item locations, resulting in redundant information.
    Original languageEnglish
    Pages (from-to)55-62
    Number of pages8
    JournalBurnout Research
    Issue number3
    Publication statusPublished - Sept 2016


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