Abstract
[This is an excerpt.] Stress and burnout among healthcare workers are at alarming levels. The Mini Z (Zero Burnout Program) worklife measure for clinicians was derived from validated instruments with the factor structure published in JGIM in 2016. The 1.0 version included 4 work conditions (work ambience (chaos), work control, teamwork effectiveness, and values alignment), 3 clinician reactions (stress, satisfaction, and burnout), and 3 items related to electronic medical record (EMR) stress (time pressure, home EMR time, and EMR proficiency). This paper investigates the psychometric structure of the 2.0 version which (1) changes EMR proficiency to EMR frustration, (2) aligns positive scores for calculation of a summary (joy) score, and (3) has two 5-item subscales (supportive work environment and work pace/EMR stress). Mini Zs have been adapted for residents, nurses, and administrators, and administered to thousands of healthcare workers in multiple languages across 5 continents. Concurrent validity of the burnout item was assessed with the Maslach Burnout Inventory (MBI) emotional exhaustion (EE) subscale. A subsequent study assessed convergent validity of the remaining items against EE and depersonalization MBI subscales. To provide a brief, valid measure for healthcare organizations to address clinician satisfaction and burnout, we determined the reliability and validity of the Mini Z 2.0’s two-subscale structure. [To read more, click View Resource.]
