Development and Psychometric Properties of the Military Nurses' Job Burnout Factors Questionnaire

Job burnout is one of the occupational hazards among employees, especially nurses. It can negatively affect the performance. This study was conducted to develop and validate the job burnout questionnaire of military nurses. The present study was carried out in two steps in year of 2017. In the first stage, with the qualitative content analysis approach, first, the concept of burnout was explained by military nurses employed in the armed forces medical centers, and then the initial items were extracted and the questionnaire was developed. In the second stage, cross-sectional descriptive study was conducted for face and content validity. Construct validity was done using exploratory factor analysis with the participation of 351 military nurses. Reliability of the questionnaire was determined by using the internal consistency (Cronbach’s alpha) and its stability through the test-retest (intra-cluster correlation test). 50 items were extracted from qualitative content analysis and related scientific literature. After performing face and content validity (qualitative and quantitative), 34 items were remained. The construct validity of the questionnaire through exploratory factor analysis led to the elimination of eleven items and thus the 25 items in seven factors (occupational burnout related to the nature of nursing profession, management aspects, the organizational regulations, professional values, Work Load in Nursing, motivational aspects and militarism) that explained 57.56% of the total variance were remained. The reliability of the tool with Cronbach’s alpha was 0.912 and its stability was obtained through test-retest (ICC = 0.967). Military nurses' job burnout questionnaire have appropriate psychometric properties such as reliability and validity; also it has simple scoring and is easy to be used by nurses.