Confirmatory factor analysis and job burnout correlates of the health professions stress inventory

Previous research in 1994 by Gupchup and Wolfgang identified four factors from Wolfgang's Health Professions Stress Inventory (1988) that were common among a sample of practicing pharmacists. The factors were labeled Professional Recognition, Patient Care Responsibilities, Job Conflicts, and Professional Uncertainty, respectively. We used confirmatory factor analysis to assess whether this factor structure was generalizable to nurses. To examine concurrent validity, we correlated the factors with Maslach and Jackson's three dimensions of job burnout, i.e., Emotional Exhaustion, Depersonalization, and Personal Accomplishment. Data were collected through a questionnaire survey of a random sample of 9,380 nurses from across 43 public hospitals in Hong Kong, from which 2,267 (24.2%) responded. Analysis indicated statistically acceptable goodness of fit indices for the four-factor solution, Except for the factor Patient Care Responsibilities, all other factors had moderate correlations between .44 and .53 with Emotional Exhaustion and Depersonalization. Correlations between the factors of Stress Inventory and Personal Accomplishment were small but significant, ranging from -.25 to .13. Areas for further improving the psychometric properties of the inventory are discussed.