Tools review

All five tools in this category have been used among Australian aged care workers.

Adapted COVI-Prim Survey

The adapted COVI-Prim Survey was based on the COVI-Prim Survey and was used within the Australian aged care setting. [1] The original COVI-Prim Survey was developed to investigate the role played by general practitioners (GPs) in the early phase of the COVID-19 pandemic, their challenges, concerns, and the strategies they have developed to cope with the pandemic. [1] The original version has a total of 58 items that covered eight demographic items, 48 closed items and two items requiring GPs to provide exact numbers. [1] The adapted COVI-Prim Survey for use with the Australian residential aged care workforce (not only GPs) has a total of 60 items that include a question about suffering from burnout. [1] The questions are answerable by ‘yes’, ‘no’ or ‘not applicable’ and some are open-ended questions. [1,2] It was pre-tested for intelligibility of content and design by four Australian healthcare professionals and researchers, however, there were no reported validity and reliability testing. [1,2] The adapted survey tool was sent as a questionnaire for respondents to complete. [1,2]  

The survey tool can be used free of charge and accessed in this full paper. [1]

A pilot tool assessing perception of nursing staff stress and burnout  

A pilot tool was developed to assess the perception of nursing staff in Australian aged care settings about stress and burnout. [3] The tool was found to have an overall good validity and internal consistency for the stress or burnout subscales which include work environment, burnout, control, job satisfaction, psychosocial stressors and symptoms and personality/behaviour. [3] It has 52 items and the items are scored using a Likert Scale which varies in number depending on the item question. [3] Higher scores indicate higher levels of stress and burnout considered as separate concepts. [3] The tool was sent as questionnaire for respondents to complete. [3] 

This pilot tool was part of a PhD project and can be accessed in the full PhD thesis dissertation. [3] 

Maslach Burnout Inventory (MBI) 

Maslach Burnout Inventory (MBI) tool is the most used measure of burnout among aged care workers, particularly those in residential settings in Australia. [4-6] The MBI was developed to assess occupational burnout and includes subscales on emotional exhaustion, depersonalisation and personal achievement. [5] The MBI was found to have good validity and reliability properties. [5] It has 16-22 items depending on which version is used and is scored using a 0-6 Likert scale (0 – never, 6 – everyday), relating to the frequency of experiencing the questions listed in tool. [5] Higher scores reflect higher burnout risk. [5] The MBI can be administered by anyone collecting the data for an organisation or can be self-administered and takes approximately 10 minutes to complete. [5] 

Licensed copies of the MBI can be purchased via the Mind Garden website. [5] 

Maslach Burnout Inventory – Human Services Survey 

The MBI Human Services Survey (MBI-HSS) was used among aged care workers in Australia. [7] It is a version of the MBI and was developed specific to the population of human services employees – this includes professionals in diverse roles. [5] It assesses three core aspects of burnout including emotional exhaustion, depersonalisation, and lack of personal accomplishment. [5] It has 22 items and assessed using a 0-6 Likert scale (0 – never, 6 – everyday). [5] Higher scores reflect higher burnout risk. [5] The tool was found to have good validity and reliability properties. [5] The MBI-HSS can be administered by anyone collecting the data for an organisation or can be self-administered. [5] 

Licensed copies of the MBI-HSS can be purchased via the Mind Garden website. [5] 

Oldenburg Burnout Inventory (OLBI) 

The Oldenburg Burnout Inventory (OLBI) is another tool that has been used to measure burnout among aged care workers in Australian  residential settings. [3, 6] It includes subscales on exhaustion and disengagement but not necessarily occupation specific. [8] The OLBI was found to have good validity and reliability properties. [8] It has 16 items and is scored using a 1-4 Likert scale (1 - strongly agree, 4 - strongly disagree). [9] Some questions are needed to be reverse coded before calculating the total score. [9] Higher scores indicate higher levels of burnout. [9] The OLBI can be administered by anyone collecting the data for an organisation or can be self-administered. [9] 

The OLBI tool can be used free of charge and accessed via the Good Medicine website. [9] 

The tools in this category have been used among international aged care workers. 

Burnout Assessment Tool

The Burnout Assessment Tool (BAT) was developed as measure of burnout appropriate for both individual and group assessment. [11] The BAT includes subscales on core dimensions of burnout (BAT-C; exhaustion, mental distance, cognitive impairment, emotional impairment) and secondary dimensions (BAT-S; psychological complaints, psychosomatic complaints). [11] The tool was found to have good validity and moderate to high reliability. [11] It has 33 items scored on a five-point Likert scale, from never to always. [11] Higher scores reflect higher levels of burnout. [11]The BAT was also translated into the Japanese language and used within international aged care settings. [12, 13] 

Copies of the BAT can be used free of charge and available in the full paper. [11] 

Burnout Measure-Short Version

The Burnout Measure Short (BMS) version was developed for ease of use among practitioners and researchers measuring burnout. [17] It was used among international aged care workers. [14-16] The BMS was based on the original version of the Burnout Measure and include concepts of the person’s level of physical, emotional, and mental exhaustion. [17] It was found to be a valid and reliable measure of burnout. [17] It has 10 items and scored on a seven-point frequency scale, ranging from never to always. [17] Higher scores reflect higher levels of burnout. [17]  

Copies of the BMS can be used free of charge and available in the full paper. [17] 

Copenhagen Burnout Inventory

The Copenhagen Burnout Inventory (CBI) tool is a measure of burnout used among aged care workers internationally. [18-21] The inventory was inspired by the Burnout Measure (BM) and the Maslach Burnout Inventory (MBI), where the core considerations are about fatigue and exhaustion. [8] The tool was found to have high validity and internal reliability. [22] It has three subscales that include personal burnout, work-related burnout, and client-related burnout. [23] It has 19 items and scored using a five-point Likert scale focused on the frequency (never to always) and the degree or magnitude (very low to very high degree) of experiencing the questions in the tool. [23] The higher the scores reflect higher burnout levels. [23] 

The CBI tool can be used free of charge and accessed in Det Nationale Forskningscenter website. [23] 

Copenhagen Psychosocial Questionnaire (Burnout sub-scale)

The Copenhagen Psychosocial Questionnaire Second Version (COPSOQ II) evaluates various psychosocial work conditions through its 127 items, categorised into 41 subscales. [22] In the context of aged care, the 'Personal Burnout' scale, consisting of four items, is employed to measure burnout among aged care workers internationally. [24-26] Responses to these items are rated on a scale of five options, ranging from 'Always' to 'Never/Hardly ever' or 'To a very large extent' to 'To a very small extent'. [22] The total scores for COPSOQ II ranges from 0 to 100 points, with higher scores indicative of elevated levels of burnout. [22] This instrument offers an understanding of the psychosocial factors contributing to burnout within the workplace. [22] The COPSOQ II was found to be a valid and reliable measure of burnout. [22] 

Copies of the COPSOQ II can be used free of charge and available on the Det Nationale Forskningscenter for Arbejdsmiljø website. [27] 

Maslach Burnout Inventory

The Maslach Burnout Inventory (MBI) was also used among international aged care workers. [12, 13, 18, 28-70] The inventory was also translated into the Japanese [65-67, 69] and Dutch [71] languages. Details about MBI was reported in the above section ‘Burnout tools used among Australian aged care workers’.

Maslach Burnout Inventory – General Survey

The MBI-GS was used among international aged care workers. [14, 15, 72-77] The MBI General Survey (MBI-GS) is an adaptation of the Maslach Burnout Inventory (MBI) designed for occupations with minimal direct personal contact with service recipients. [5] It shifts the focus to the general performance of work, irrespective of specific job characteristics. [5] The three scales of the MBI-GS were modified and renamed as exhaustion, cynicism, and professional efficacy. [5] Featuring 16 items, this survey used a 0-6 Likert scale (0 – never, 6 – everyday), where higher scores indicated an elevated risk of burnout. [5] The MBI-GS can be administered by anyone collecting the data for an organisation or can be self-administered and takes between 5 to 10 minutes to complete. [5] The MBI-GS was found to be a valid and reliable measure of burnout. [5] 

Licensed copies of the MBI-GS can be purchased via the Mind Garden website. [5] 

Maslach Burnout Inventory – Human Services Survey

The MBI – Human Services Survey (MBI-HSS) was also used among international aged care workers. [78-80] Details about MBI was reported in the above section ‘Burnout tools used among Australian aged care workers’.

Maslach Burnout Inventory – Human Services Survey for Medical Personnel

The MBI-HSS for Medical Personnel (MBI-HSS (MP)) is a variation of the MBI-HSS, which was refined to accommodate specifically healthcare professionals [5] and was used among aged care workers internationally. [81, 82] It assessed the same core components of emotional exhaustion, depersonalisation, and lack of personal accomplishment and comprised of the same items, Likert scale measures, administration method, scoring system, and psychometric properties as MBI-HSS. [5] The difference between the two inventories is the use of “patients” instead of “recipients” in MBI-HSS (MP). [5] 

Licensed copies of the MBI-HSS (MP) can be purchased via the Mind Garden website. [5] 

Mini Z Survey 2.0

The Mini Z Survey 2.0 was used to measure burnout among primary care clinicians. [83] It consists of an 11-item survey that consists of two subscales, including supportive work environment and work pace Electronic Medical Record (EMR) stress. [83-85] The items are assessed using a 5-point Likert Scale and one question presented as an open-ended question. [84] Each question was measured in different forms as follows: (1 – strongly disagree, 5 – agree strongly), (1 – Hectic chaotic, 5 – Calm), (1 – Excessive, 5 – Minimal/none), (1 – Poor, 5 – Optimal). [84] Higher scores indicated higher burnout levels. [84] The tool was found to have good internal validity and moderate reliability. [85]   

The Mini Z Survey 2.0 can be used free of charge and accessed in the Institute for Professional Worklife website. [84] 

Oldenburg Burnout Inventory (OLBI)

The Oldenburg Burnout Inventory (OLBI) was also used among international aged care workers. [86] Details about OLBI was reported in the above section ‘Burnout tools used among Australian aged care workers’.

Professional Quality of Life (Burnout construct)

The Professional Quality of Life (ProQoL) is a tool that assesses the wellbeing of compassionate professionals by gauging their levels of compassion satisfaction, burnout, and secondary traumatic stress. [87] Comprising 30 items measured on a Likert scale from 0 (never) to 5 (always), the questionnaire divides into three constructs, each with 10 items. [87] The sum of each subscale is compared against the following levels –  low (≤22), average (23–41), and high (≥42) levels. [87] The burnout subscale was used among international aged care workers [88-90] and included measures of exhaustion, frustration, anger, and depression related to work. [87] Higher scores on the burnout scale refers to higher risk for burnout. [87] The tool was found to have good construct validity and reliability. [87, 91] 

Copies of the ProQoL can be used free of charge and available on the NovoPsych website. [87] 

Stanford Professional Fulfillment Index

The Stanford Professional Fulfillment Index (PFI) serves as a self-assessment tool for physicians, gauging their professional fulfillment (intrinsic positive rewards derived from work) and burnout (work exhaustion and interpersonal disengagement) based on their experiences over the preceding two weeks. [83, 92] The tool was reported in a report that measured burnout among primary care physicians. [83] The PFI consists of 16-items and is scored using a 0 to 4 Likert Scale where 0 indicated not at all (true) and 4 indicated completely true or extremely. [92] The high scores reflect high burnout levels. [92] The PFI was found to have good reliability. [93] 

The PFI can be used free of charge and accessed in full paper. [94] 

1. Krzyzaniak N, Scott A, Bakhit M, Bryant A, Taylor M, Del Mar C. Impact of the COVID-19 pandemic on the Australian residential aged care facility (RACF) workforce. Aust J Adv Nurs. 2021;38(3).
2. Siebenhofer A, Huter S, Avian A, Mergenthal K, Schaffler-Schaden D, Spary-Kainz U, et al. Covi-prim survey: Challenges for austrian and german general practitioners during initial phase of covid-19. PLoS One. 2021;16(6):e0251736.  
3. Skinner V, Lee-White T, Agho K, Harris J. The development of a tool to assess levels of stress and burnout. Australian Journal of Advanced Nursing, The. 2007;24(4):8-13.  
4. Maslach C, Jackson SE. The measurement of experienced burnout. Journal of organizational behavior. 1981;2(2):99-113.  
5. Maslach C JS, Leiter MP, Schaufeli WB, Schwab RL,. Maslach burnout inventory (mbi) Menlo Park, CA: Mind Garden; 2022 [Available from: https://www.mindgarden.com/117-maslach-burnout-inventory-mbi.  
6. Adelson P, Fish J, Peters M, Corsini N, Sharplin G, Eckert M. Covid-19 and workforce wellbeing: A survey of the australian nursing, midwifery, and care worker workforce. A report prepared for the Australian Nursing and Midwifery Federation Adelaide, SA: University of South Australia. 2021.  
7. Low YS, Bhar S, Chen WS. Exploring the relationship between co-worker and supervisor support, self-confidence, coping skills and burnout in residential aged care staff. BMC nursing. 2022;21(1):1-10.  
8. Halbesleben JR, Demerouti E. The construct validity of an alternative measure of burnout: Investigating the english translation of the oldenburg burnout inventory. Work & Stress. 2005;19(3):208-220.  
9. Oldenburg Burnout Inventory.  [Available from: https://goodmedicine.org.uk/sites/default/files/assessment%2C%20burnout%2C%20olbi.pdf   
10. Leiter M MC. Areas of worklife survey [internet] Menlo Park, CA: Mind Garden; 2022 [cited 2022 23 November]. Available from: https://www.mindgarden.com/274-areas-of-worklife-survey.  
11. Schaufeli WB, Desart S, De Witte H. Burnout assessment tool (bat)—development, validity, and reliability. International journal of environmental research and public health. 2020;17(24):9495.  
12. Yamaguchi I. Mediating effects of upward communications on the relationship between team autonomy and burnout: A study of employees at care facilities in japan. International Journal of Business Communication. 2019:2329488419829811.  
13. Saito Y, Igarashi A, Noguchi‐Watanabe M, Takai Y, Yamamoto‐Mitani N. Work values and their association with burnout/work engagement among nurses in long‐term care hospitals. Journal of Nursing Management. 2018;26(4):393-402.  
14. Frey R, Balmer D, Robinson J, Slark J, McLeod H, Gott M, et al. “To a better place”: The role of religious belief for staff in residential aged care in coping with resident deaths. European Journal of Integrative Medicine. 2018;19:89-99.  
15. Frey R, Boyd M, Foster S, Robinson J, Gott M. Burnout matters: The impact on residential aged care staffs’ willingness to undertake formal palliative care training. Progress in Palliative Care. 2015;23(2):68-74.  
16. Hirata H, Harvath TA. The relationship between exposure to dementia-related aggressive behavior and occupational stress among japanese care workers. Journal of gerontological nursing. 2015;41(4):38-46.  
17. Malach-Pines A. The burnout measure, short version. International Journal of Stress Management. 2005;12(1):78.  
18. Mallon A, Mitchell G, Carter G, McLaughlin D, Wilson CB. A rapid review of evaluated interventions to inform the development of a resource to support the resilience of care home nurses. BMC geriatrics. 2023;23(1):275.  
19. Fattori A, Pedruzzi M, Cantarella C, Bonzini M. The burden in palliative care assistance: A comparison of psychosocial risks and burnout between inpatient hospice and home care services workers. Palliative & Supportive Care. 2023;21(1):49-56.  
20. Scheepers RA, van den Broek T, Cramm JM, Finkenflügel H, Nieboer AP. Changes in work conditions and well-being among healthcare professionals in long-term care settings in the netherlands during the covid-19 pandemic: A longitudinal study. Human Resources for Health. 2023;21(1):59.  
21. Halek M, Reuther S, Mueller-Widmer R, Trutschel D, Holle D. Dealing with the behaviour of residents with dementia that challenges: A stepped-wedge cluster randomized trial of two types of dementia-specific case conferences in nursing homes (falldem). International journal of nursing studies. 2020;104:103435.  
22. Pejtersen JH, Kristensen TS, Borg V, Bjorner JB. The second version of the copenhagen psychosocial questionnaire. Scandinavian journal of public health. 2010;38(3_suppl):8-24.  
23. Det Nationale Forskningscenter for Arbejdsmiljø. Copenhagen burnout inventory - cbi  [cited 2023 12 December]. Available from: https://nfa.dk/vaerktoejer/spoergeskemaer/spoergeskema-til-maaling-af-udbraendthed-cbi/copenhagen-burnout-inventory-cbi
24. Schmidt SG, Dichter MN, Bartholomeyczik S, Hasselhorn HM. The satisfaction with the quality of dementia care and the health, burnout and work ability of nurses: A longitudinal analysis of 50 german nursing homes. Geriatric Nursing. 2014;35(1):42-46.  
25. Schmidt SG, Dichter MN, Palm R, Hasselhorn HM. Distress experienced by nurses in response to the challenging behaviour of residents–evidence from g erman nursing homes. Journal of clinical nursing. 2012;21(21-22):3134-3142.  
26. Schulze S, Merz S, Thier A, Tallarek M, König F, Uhlenbrock G, et al. Psychosocial burden in nurses working in nursing homes during the covid-19 pandemic: A cross-sectional study with quantitative and qualitative data. BMC health services research. 2022;22(1):1-13.  
27. Det Nationale Forskningscenter for Arbejdsmiljø. Copenhagen psychosocial questionnaire (copsoq-ii)  [cited 2023 12 December]. Available from: https://nfa.dk/vaerktoejer/spoergeskemaer/copenhagen-psychosocial-questionnaire-copsoq-ii/copenhagen-psychosocial-questionnaire-copsoq-ii/.  
28. Åhlin J, Ericson-Lidman E, Eriksson S, Norberg A, Strandberg G. Longitudinal relationships between stress of conscience and concepts of importance. Nursing Ethics. 2013;20(8):927-942.  
29. Åhlin J, Ericson‐Lidman E, Norberg A, Strandberg G. A comparison of assessments and relationships of stress of conscience, perceptions of conscience, burnout and social support between healthcare personnel working at two different organizations for care of older people. Scandinavian journal of caring sciences. 2015;29(2):277-287.  
30. Åhlin J, Ericson‐Lidman E, Strandberg G. Assessments of stress of conscience, burnout and social support amongst care providers in home care and residential care for older people. Scandinavian journal of caring sciences. 2022;36(1):131-141.  
31. Bamonti P, Conti E, Cavanagh C, Gerolimatos L, Gregg J, Goulet C, et al. Coping, cognitive emotion regulation, and burnout in long-term care nursing staff: A preliminary study. Journal of Applied Gerontology. 2019;38(1):92-111.  
32. Boerner K, Gleason H, Jopp DS. Burnout after patient death: Challenges for direct care workers. Journal of pain and symptom management. 2017;54(3):317-325.  
33. Chamberlain SA, Gruneir A, Hoben M, Squires JE, Cummings GG, Estabrooks CA. Influence of organizational context on nursing home staff burnout: A cross-sectional survey of care aides in western canada. International journal of nursing studies. 2017;71:60-69.  
34. Chmelar C, Jörres RA, Kronseder A, Müller A, Nowak D, Weigl M. Associations between age, psychosocial work conditions, occupational well-being, and telomere length in geriatric care professionals. Journal of occupational and environmental medicine. 2017;59(10):949-955.  
35. Cooper C, Marston L, Barber J, Livingston D, Rapaport P, Higgs P, et al. Do care homes deliver person-centred care? A cross-sectional survey of staff-reported abusive and positive behaviours towards residents from the marque (managing agitation and raising quality of life) english national care home survey. PLoS One. 2018;13(3):e0193399.  
36. Costello H, Walsh S, Cooper C, Livingston G. A systematic review and meta-analysis of the prevalence and associations of stress and burnout among staff in long-term care facilities for people with dementia. International psychogeriatrics. 2019;31(8):1203-1216.  
37. de Rooij AH, Luijkx KG, Declercq AG, Emmerink PM, Schols JM. Professional caregivers’ mental health problems and burnout in small-scale and traditional long term care settings for elderly people with dementia in the netherlands and belgium. Journal of the American Medical Directors Association. 2012;13(5):486. e487-486. e411.  
38. Ericson-Lidman E, Åhlin J. Assessments of stress of conscience, perceptions of conscience, burnout, and social support before and after implementation of a participatory action-research-based intervention. Clinical nursing research. 2017;26(2):205-223.  
39. Falzarano F, Reid MC, Schultz L, Meador RH, Pillemer K. Getting along in assisted living: Quality of relationships between family members and staff. The Gerontologist. 2020;60(8):1445-1455.  
40. Kanios A, Bocheńska-Brandt A. Occupational burnout among workers in the long-term care sector in relation to their personality traits. International Journal of Occupational Medicine and Environmental Health. 2020;34(4):491-504.  
41. Kim B, Liu L, Ishikawa H, Park S-H. Relationships between social support, job autonomy, job satisfaction, and burnout among care workers in long-term care facilities in hawaii. Educational Gerontology. 2019;45(1):57-68.  
42. Kim BJ, Ishikawa H, Liu L, Ohwa M, Sawada Y, Lim HY, et al. The effects of job autonomy and job satisfaction on burnout among careworkers in long-term care settings: Policy and practice implications for japan and south korea. Educational Gerontology. 2018;44(5-6):289-300.  
43. Kim BJ, Lee S-y. A cross-sectional study on the impacts of perceived job value, job maintenance, and social support on burnout among long-term care staff in hawaii. International Journal of Environmental Research and Public Health. 2021;18(2):476.  
44. Knopp‐Sihota JA, Niehaus L, Squires JE, Norton PG, Estabrooks CA. Factors associated with rushed and missed resident care in western c anadian nursing homes: A cross‐sectional survey of health care aides. Journal of clinical nursing. 2015;24(19-20):2815-2825.  
45. Ko A, Takasaki K, Chiba Y, Fukahori H, Igarashi A, Takai Y, et al. Aggression exhibited by older dementia clients toward staff in japanese long-term care. Journal of elder abuse & neglect. 2012;24(1):1-16.  
46. Min D. Effects of resilience, burnout, and work-related physical pain on work-life balance of registered nurses in south korean nursing homes: A cross-sectional study. Medicine. 2022;101(30).  
47. Möckli N, Denhaerynck K, De Geest S, Leppla L, Beckmann S, Hediger H, et al. The home care work environment’s relationships with work engagement and burnout: A cross‐sectional multi‐centre study in switzerland. Health & social care in the community. 2020;28(6):1989-2003.  
48. Moon Y, Shin SY. Moderating effects of resilience on the relationship between emotional labor and burnout in care workers. Journal of Gerontological Nursing. 2018;44(10):30-39.  
49. Puyat JH, Leclerc A, Song A, Chan K, Pott K, Bernard C, et al. Exposure to deaths and dying and risks of burnout among long-term care staff: A cross-sectional survey. Palliative Medicine. 2019;33(6):717-720.  
50. Squires JE, Baumbusch J, Varin MD, MacDonald I, Chamberlain S, Boström A-M, et al. A profile of regulated nurses employed in canadian long-term care facilities. Canadian Journal on Aging/La revue canadienne du vieillissement. 2019;38(2):130-142.  
51. Tanaka K, Iso N, Sagari A, Tokunaga A, Iwanaga R, Honda S, et al. Burnout of long-term care facility employees: Relationship with employees' expressed emotion toward patients. International Journal of Gerontology. 2015;9(3):161-165.  
52. Woodhead EL, Northrop L, Edelstein B. Stress, social support, and burnout among long-term care nursing staff. Journal of applied gerontology. 2016;35(1):84-105.  
53. Yeatts DE, Seckin G, Shen Y, Thompson M, Auden D, Cready CM. Burnout among direct‐care workers in nursing homes: Influences of organisational, workplace, interpersonal and personal characteristics. Journal of Clinical Nursing. 2018;27(19-20):3652-3665.  
54. Bamonti PM, Smith A, Smith HM. Cognitive emotion regulation strategies predict burnout in geriatric nursing staff. Clinical Gerontologist. 2022;45(5):1236-1244.  
55. Camero I, Carrico C. Addressing nursing personnel burnout in long-term care: Implementation of a gratitude journal. Holistic nursing practice. 2022;36(3):E12-E17.  
56. Erjavec K, Leskovic L. Long-term healthcare professionals’ experiences of burnout and correlation between burnout and fatigue: A cross-sectional study. International Journal of Occupational Medicine and Environmental Health. 2023;36(3):396-405.  
57. Iaconi A, Duan Y, Tate K, Penconek T, Cummings G, Norton P, et al. Nursing home managers’ high risk of burnout. Journal of the American Medical Directors Association. 2022;23(1):173-175.  
58. Kim BJ, Choi CJW. Impact of compensation and willingness to keep same career path on burnout among long-term care workers in japan. Human Resources for Health. 2023;21(1):64.  
59. Kunkle R, Chaperon C, Popejoy LL, Struwe L, Wengel S, Berger AM. Understanding formal caregiver burden in nursing assistants in nursing homes: A mixed methods approach. Research in Gerontological Nursing. 2023;16(5):231-240.  
60. López-Frutos P, Pérez-Rojo G, Noriega C, Velasco C, Carretero I, Martínez-Huertas JÁ, et al. Burnout and quality of life in professionals working in nursing homes: The moderating effect of stereotypes. Frontiers in Psychology. 2022;13:772896.  
61. Navarro Prados AB, Jiménez García‐Tizón S, Meléndez JC. Sense of coherence and burnout in nursing home workers during the covid‐19 pandemic in spain. Health & Social Care in the Community. 2022;30(1):244-252.  
62. Navarro‐Prados AB, García‐Tizón SJ, Meléndez JC, López J. Factors associated with satisfaction and depressed mood among nursing home workers during the covid‐19 pandemic. Journal of Clinical Nursing. 2022.  
63. Navarro‐Prados AB, Rodríguez‐Ramírez Y, Satorres E, Meléndez JC. Stress and burnout in nursing home and égida workers during covid‐19. Journal of Advanced Nursing. 2023.  
64. Laher Z, Robertson N, Harrad-Hyde F, Jones CR. Prevalence, predictors, and experience of moral suffering in nursing and care home staff during the covid-19 pandemic: A mixed-methods systematic review. International Journal of Environmental Research and Public Health. 2022;19(15):9593.  
65. Eltaybani S, Noguchi-Watanabe M, Igarashi A, Saito Y, Yamamoto-Mitani N. Factors related to intention to stay in the current workplace among long-term care nurses: A nationwide survey. International Journal of Nursing Studies. 2018;80:118-127.  
66. Eltaybani S, Yamamoto-Mitani N, Ninomiya A, Igarashi A. The association between nurses’ burnout and objective care quality indicators: A cross-sectional survey in long-term care wards. BMC nursing. 2021;20(1):1-10.  
67. Naruse T, Taguchi A, Kuwahara Y, Nagata S, Watai I, Murashima S. Relationship between perceived time pressure during visits and burnout among home visiting nurses in japan. Japan Journal of Nursing Science. 2012;9(2):185-194.  
68. Kukihara H, Ando M, Yamawaki N. The effects of yoga and mindful meditation on elderly care worker’s burnout: A consort-compliant randomized controlled trial. Journal of Rural Medicine. 2022;17(1):14-20.  
69. Cao X, Naruse T. Effect of time pressure on the burnout of home‐visiting nurses: The moderating role of relational coordination with nursing managers. Japan Journal of Nursing Science. 2019;16(2):221-231.  
70. Chamberlain SA, Hoben M, Squires JE, Estabrooks CA. Individual and organizational predictors of health care aide job satisfaction in long term care. BMC Health Services Research. 2016;16(1):1-9.  
71. Zwijsen S, Gerritsen D, Eefsting J, Smalbrugge M, Hertogh C, Pot A. Coming to grips with challenging behaviour: A cluster randomised controlled trial on the effects of a new care programme for challenging behaviour on burnout, job satisfaction and job demands of care staff on dementia special care units. International journal of nursing studies. 2015;52(1):68-74.  
72. Estabrooks CA, Squires JE, Carleton HL, Cummings GG, Norton PG. Who is looking after mom and dad? Unregulated workers in canadian long-term care homes. Canadian Journal on Aging/La Revue canadienne du vieillissement. 2015;34(1):47-59.  
73. Nandan C, MacDonald JB, Wiener KK. Burnout in aged care workers: The impact of work–home conflict and patient aggression. Traumatology. 2022;29(1):46.  
74. Duan Y, Song Y, Thorne TE, Iaconi A, Norton PG, Estabrooks CA, editors. The complexity of burnout experiences among care aides: A person-oriented approach to burnout patterns. Healthcare; 2023: MDPI.  
75. Estabrooks CA, Duan Y, Cummings GG, Doupe M, Hoben M, Keefe J, et al. Changes in health and well-being of nursing home managers from a prepandemic baseline in february 2020 to december 2021. Journal of the American Medical Directors Association. 2023;24(2):148-155.  
76. Aloisio LD, Gifford WA, McGilton KS, Lalonde M, Estabrooks CA, Squires JE. Individual and organizational predictors of allied healthcare providers’ job satisfaction in residential long-term care. BMC health services research. 2018;18:1-18.  
77. Chamberlain SA, Hoben M, Squires JE, Cummings GG, Norton P, Estabrooks CA. Who is (still) looking after mom and dad? Few improvements in care aides’ quality-of-work life. Canadian Journal on Aging/La revue canadienne du vieillissement. 2019;38(1):35-50.  
78. Guan B, Jepsen DM. Burnout from emotion regulation at work: The moderating role of gratitude. Personality and Individual Differences. 2020;156:109703.  
79. Hunter PV, Hadjistavropoulos T, Thorpe L, Lix LM, Malloy DC. The influence of individual and organizational factors on person-centred dementia care. Aging & mental health. 2016;20(7):700-708.  
80. Jeon Y-H, Luscombe G, Chenoweth L, Stein-Parbury J, Brodaty H, King M, et al. Staff outcomes from the caring for aged dementia care resident study (cadres): A cluster randomised trial. International journal of nursing studies. 2012;49(5):508-518.  
81. Conejero I, Petrier M, Fabbro Peray P, Voisin C, Courtet P, Potier H, et al. Post-traumatic stress disorder, anxiety, depression and burnout in nursing home staff in south france during the covid-19 pandemic. Translational Psychiatry. 2023;13(1):205.  
82. Daghash H, Haegdorens F, Gillis K, Slootmans S, De Smedt K, Van Bogaert P, et al. A hospitality improvement intervention in residential care does not warrant staff job satisfaction or turnover intention: A cross-sectional survey study investigating the hostmanship program. Cureus. 2022;14(3).  
83. Agency for Healthcare Research and Quality. Burnout in primary care - assessing and addressing it in your own practice. USA. Available from: https://www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/burnout-in-primary-care.pdf.  
84. Institute for Professional Worklife. Mini z survey 2023 [cited 2023 12 December]. Available from: https://www.professionalworklife.com/mini-z-survey.  
85. Call M, Qeadan F, Tingey B, Morrow E, Webber D, Hamilton B, et al. Measuring provider well-being: Initial validation of a brief engagement survey. BMC Health Services Research. 2023;23(1):1-10.  
86. Eder LL, Meyer B. The role of self-endangering cognitions between long term-care nurses’ altruistic job motives and exhaustion. Frontiers in Health Services. 2023;3:1100225.  
87. NovoPsych. The professional quality of life scale – 5 (proqol) 2023 [cited 2023 12 December]. Available from: https://novopsych.com.au/assessments/clinician-self-assessment/the-professional-quality-of-life-scale-5-proqol/.  
88. Hunter PV, McCleary L, Akhtar-Danesh N, Goodridge D, Hadjistavropoulos T, Kaasalainen S, et al. Mind the gap: Is the canadian long-term care workforce ready for a palliative care mandate? Ageing & Society. 2020;40(6):1223-1243.  
89. Dreher MM, Hughes RG, Handley PA, Tavakoli AS. Improving retention among certified nursing assistants through compassion fatigue awareness and self-care skills education. Journal of Holistic Nursing. 2019;37(3):296-308.  
90. Pérez V, Menéndez-Crispín EJ, Sarabia-Cobo C, de Lorena P, Fernández-Rodríguez A, González-Vaca J. Mindfulness-based intervention for the reduction of compassion fatigue and burnout in nurse caregivers of institutionalized older persons with dementia: A randomized controlled trial. International Journal of Environmental Research and Public Health. 2022;19(18):11441.  
91. Heritage B, Rees CS, Hegney DG. The proqol-21: A revised version of the professional quality of life (proqol) scale based on rasch analysis. PloS one. 2018;13(2):e0193478.  
92. National Academy of Medicine. Valid and reliable survey instruments to measure burnout, well-being, and other work-related dimensions 2022 [cited 2023 12 December]. Available from: https://nam.edu/valid-reliable-survey-instruments-measure-burnout-well-work-related-dimensions/.  
93. Jyothindran R, d’Etienne JP, Marcum K, Tijerina A, Graca C, Knowles H, et al. Fulfillment, burnout and resilience in emergency medicine—correlations and effects on patient and provider outcomes. PloS one. 2020;15(10):e0240934.  
94. Stanford Professional Fulfillment Index.  [cited 2023 12 December]. Available from: https://www.advisory.com/content/dam/advisory/en/public/Advisory/Topics/Physician-engagement-and-burnout/Resource-library/Stanford_Professional_Fulfillment_Index.pdf.