ArticleBMC health services research2022
Burnout among midwives-the factorial structure of the burnout assessment tool and an assessment of burnout levels in a Swedish national sample.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Lack of autonomy and professional recognition as major factors for burnout in midwives: A systematic mixed-method review.Journal of advanced nursing · 2025Pooled it
- Predictors of intention to leave and actual turnover among midwives - A three-year nationwide longitudinal study in Swedish healthcare.European journal of obstetrics & gynecology and reproductive biology: X · 2026Article
- Measuring moral distress in Swedish maternal and neonatal healthcare: validation of an adapted MDS‑R and development of a criterion‑based index.Scientific reports · 2026Article
- Do job resources buffer the harmful effects of job demands on burnout complaints? A 1-year cohort study of Swedish healthcare professionals.International journal of nursing studies advances · 2025Article
- Maintaining operability at a high personal cost - a mixed method study on maternal healthcare workers' experiences during the COVID-19 pandemic.BMC health services research · 2025Article
- How to assess severe burnout? Cutoff points for the Burnout Assessment Tool (BAT) based on three European samples.Scandinavian journal of work, environment & health · 2023Article
- The Lithuanian version of the Burnout Assessment Tool (BAT-LT): psychometric characteristics of the primary and secondary symptoms scales.Frontiers in psychology · 2023Article
- Burnout and Psychological Safety: A Questionnaire Study of Medical Students.Journal of medical education and curricular developmentArticle
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5 authors.
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Abstract
backgroundMany workplaces, within the healthcare sector, experience high rates of mental health problems such as burnout, anxiety, and depression, due to poor psychosocial working conditions and midwives are not an exception. To develop preventive interventions, epidemiologic surveillance of burnout levels, and their relation to professional specific working conditions is needed. Aims of this study is to assess the construct validity of the Burnout Assessment Tool (BAT) in the context of Swedish midwives, to evaluate whether the item responses can be combined into a single score and differential item functioning regarding age. Another aim was to assess the burnout levels of Swedish midwives.
methodsData come from a national cohort of Swedish midwives (n = 1664). The construct validity was evaluated using Rasch analysis. Burnout levels were presented by median and first (Q1) and third (Q3) quartiles for the BAT total score and the four subscales (exhaustion, mental distance, cognitive and emotional impairment).
resultsIn the analysis including all 23 items the fit to the Rasch model was not obtained. Items within each subscale clustered together in a residual correlation matrix in a pattern consistent with the underlying conceptualization of the BAT, indicating multidimensionality. The Rasch analysis was re-run using the four testlets as input variables which resulted in a good fit. The median burnout level was 2.0 (Q1 = 1.6, Q3 = 2.4). The four subscales differentiated the picture (elevated levels on exhaustion and low levels on the other three subscales).
conclusionsThe construct validity of the BAT for use in the context of Swedish midwives was confirmed. The results indicated a strong general factor, meaning that the responses can be combined into a single burnout score. The scale works invariantly for different age groups. The results of this study secure access to a validated instrument to be used for accurate assessment of the burnout levels among midwives in Sweden.
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