JNSS 2025, 16(3-4):121-129 | DOI: 10.32725/jnss.2025.015

Risk of burnout syndrome in members of multidisciplinary rehabilitation teams: validation of the Czech version of the Copenhagen Burnout Inventory

Klára Novotná ORCID...*, Lucie Friedová ORCID..., Renata Větrovská ORCID..., Barbora Staňková ORCID..., Yvona Angerová ORCID...
Charles University, 1st Faculty of Medicine and General University Hospital, Neurology Clinic, MS Centrum, Prague, Czech Republic

Background: Burnout syndrome is a psychological condition arising from factors such as prolonged stress, emotional strain, and excessive workload. It is most common in helping professions such as physicians, nurses, teachers, and social workers, who work in intensive contact with people.

Objective: To determine the validity and reliability of the Czech version of the Copenhagen Burnout Inventory (CBI) and to provide a culturally adapted version for use among Czech healthcare workers.

Methods: A convenience sample of 51 healthcare workers from multidisciplinary rehabilitation teams was recruited (12 nurses, 7 physicians, 13 physiotherapists, 4 occupational therapists, 6 psychologists, 2 social workers, and 5 others). The scale was administered to subgroups of respondents twice within seven days to verify test-retest reliability. Reliability of the Czech version of the CBI was evaluated using Cronbach's α, and concurrent validity was assessed using Spearman's correlation coefficients.

Results: The Czech version of the CBI demonstrated excellent internal consistency (Cronbach's α = 0.94) and very good test-retest reliability (intraclass correlation coefficient [ICC2.1] = 0.96; 95% CI: 0.86-0.99). Correlations with the Shirom-Melamed Burnout Measure were moderate to strong.

Conclusion: The Czech version of the CBI showed excellent internal consistency and good concurrent validity with the Shirom-Melamed Burnout Measure. These findings are consistent with international studies and support the use of the Czech version of the CBI in both clinical practice and research.

Keywords: Burnout; Copenhagen Burnout Inventory; Nurses; Physiotherapy; Rehabilitation
Grants and funding:

> Supported by the Czech Ministry of Education - project Cooperatio LF1, research area Sport Sciences - Biomedical & Rehabilitation Medicine and Neuroscience and by the Czech Ministry of Health project RVO-VFN64165 and the Czech Health Research Council (AZV) grant NU22-04-00193 and the project Na tional Institute for Neurological Research (Programme EXCELES, ID project No LX22NPO5107), funded by the European Union-Next Generation EU.

Conflicts of interest:

The authors have no conflict of interest to declare.

Received: August 22, 2025; Revised: October 18, 2025; Accepted: December 2, 2025; Prepublished online: December 2, 2025; Published: December 12, 2025  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Novotná K, Friedová L, Větrovská R, Staňková B, Angerová Y. Risk of burnout syndrome in members of multidisciplinary rehabilitation teams: validation of the Czech version of the Copenhagen Burnout Inventory. Journal of Nursing, Social Studies, Public Health and Rehabilitation. 2025;16(3-4):121-129. doi: 10.32725/jnss.2025.015.
Download citation

References

  1. Aljabri D, Alshatti F, Alumran A, Al-Rayes S, Alsalman D, Althumairi A, et al. (2022). Sociodemographic and occupational factors associated with burnout: A study among frontline healthcare workers during the COVID-19 pandemic. Front Public Health 10: 854687. DOI: 10.3389/fpubh.2022.854687. Go to original source... Go to PubMed...
  2. Bakker AB, Schaufeli WB, Demerouti E, Euwema MC (2007). An organisational and social psychological perspective on burnout and work engagement. In: Hewstone M, Schut HAW, De Wit JBF, Van Den Bos K, Stroebe MS (Eds). The scope of social psychology: Theory and applications. Psychology Press, pp. 227-250.
  3. Borritz M, Rugulies R, Bjorner JB, Villadsen E, Mikkelsen OA, Kristensen TS (2006). Burnout among employees in human service work: design and baseline findings of the PUMA study. Scand J Public Health 34(1): 49-58. DOI: 10.1080/14034940510032275. Go to original source... Go to PubMed...
  4. Eckleberry-Hunt J, Kirkpatrick H, Barbera T (2018). The problems with burnout research. Academic Medicine 93(3): 367-370. DOI: 10.1097/ACM.0000000000001890. Go to original source... Go to PubMed...
  5. El-Ibiary SY, Yam L, Lee KC (2017). Assessment of burnout and associated risk factors among pharmacy practice faculty in the United States. Am J Pharm Educ 81(4): 75-75. DOI: 10.5688/ajpe81475. Go to original source... Go to PubMed...
  6. Freudenberger HJ (1974). Staff burn-out. J Soc Issues 30(1): 159-165. DOI: 10.1111/j.1540-4560.1974.tb00706.x. Go to original source...
  7. Grochowska A, Gawron A, Bodys-Cupak I (2022). Stress-inducing factors vs. the risk of occupational burnout in the work of nurses and paramedics. Int J Environ Res Public Health 19(9): 5539-5539. DOI: 10.3390/ijerph19095539. Go to original source... Go to PubMed...
  8. Guillemin F, Bombardier C, Beaton D (1993). Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines. J Clin Epidemiol 46(12): 1417-1432. DOI: 10.1016/0895-4356(93)90142-n. Go to original source... Go to PubMed...
  9. Hodkinson A, Zhou A, Johnson J, Geraghty K, Riley R, Zhou A, et al. (2022). Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis. Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis. BMJ 378: e070442. DOI: 10.1136/bmj-2022-070442. Go to original source... Go to PubMed...
  10. Khatatbeh H, Pakai A, Pusztai D, Szunomár S, Fullér N, Kovács Szebeni G, et al. (2021). Burnout and patient safety: A discriminant analysis of paediatric nurses by low to high managerial support. Nurs Open 8(2): 982-989. DOI: 10.1002/nop2.708. Go to original source... Go to PubMed...
  11. Kristensen TS, Borritz M, Villadsen E, Christensen KB (2005). The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work Stress 19(3): 192-207. DOI: 10.1080/02678370500297720. Go to original source...
  12. Li LZ, Yang P, Singer SJ, Pfeffer J, Mathur MB, Shanafelt T (2024). Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. JAMA Netw Open 7(11): e2443059. DOI: 10.1001/jamanetworkopen.2024.43059. Go to original source... Go to PubMed...
  13. Malach-Pines A (2005). The Burnout Measure, Short Version. Int J Stress Manag 12(1): 78-88. DOI: 10.1037/1072-5245.12.1.78. Go to original source...
  14. Maroon I (2021). Burnout bei Sozialarbeitern: Theorie und Interventionsperspektiven. Georg Olms Verlag, 208 p.
  15. Maslach C, Jackson SE (1981). The measurement of experienced burnout. J Org Behav 2(2): 99-113. DOI: 10.1002/job.4030020205. Go to original source...
  16. Maslach C, Jackson SE, Leiter MP (1997). Maslach Burnout Inventory: 3rd ed. In: Zalaquett CP, Wood RJ (Eds). Evaluating stress: A book of resources. Scarecrow Education, pp. 191-218.
  17. Maslach C, Schaufeli WB, Leiter MP (2001). Job burnout. Annu Rev Psychol 52: 397-422. DOI: 10.1146/annurev.psych.52.1.397. Go to original source... Go to PubMed...
  18. Mincarone P, Bodini A, Tumolo MR, Sabina S, Colella R, Mannini L, et al. (2024). Association between physical activity and the risk of burnout in health care workers: systematic review. JMIR Public Health Surveill 10: e49772. DOI: 10.2196/preprints.49772. Go to original source...
  19. Pawłowicz-Szlarska E, Skrzypczyk P, Stańczyk M, Pańczyk-Tomaszewska M, Nowicki M (2022). Burnout syndrome among pediatric nephrologists - report on its prevalence, severity, and predisposing factors. Medicina 58(3): 446. DOI: 10.3390/medicina58030446. Go to original source... Go to PubMed...
  20. Piperac P, Todorovic J, Terzic-Supic Z, Maksimovic A, Karic S, Pilipovic F, Soldatovic I (2021). The validity and reliability of the Copenhagen burnout inventory for examination of burnout among preschool teachers in Serbia. Int J Environ Res Public Health 18(13): 6805. DOI: 10.3390/ijerph18136805. Go to original source... Go to PubMed...
  21. Poschkamp T (2011). Ausgebrannt! Burnout Erkennen, Heilen, Verhindern. Brill Schoningh, 100 p. (pp. 11-14). Go to original source...
  22. Ptáček R, Čeledová L, et al. (2011). Stres a syndrom vyhoření u lékařů posudkové služby. Praha: Karolinum, 118 p.
  23. Ptáček R, Raboch J, Kebza V, et al. (2013). Burnout syndrom jako mezioborový jev. Edice celoživotního vzdělávání ČLK. Praha: Grada, 168 p.
  24. Ptáček R, Raboch J, Kebza V, Šolcová I, Vňuková M, Hlinka J, et al. (2017). Czech version of the shirom melamed burnout measure. Cesk Psychol 61(6): 536-545.
  25. Ptáček R, Vňuková M, Raboch J, Smetáčková I, Harsa P, Švandová L (2018). Syndrom vyhoření a životní styl učitelů českých základních škol. Ceska Slov Psychiatr 114(5): 199-204.
  26. Ptáček R, Vňuková M, Smetáčková I, Weissenberger S, Harsa P, Raboch J (2019). Who burns out more? Comparison of burnout levels between teachers and physicians in the Czech Republic. Act Nerv Super 61: 165-169. DOI: 10.1007/s41470-019-00034-3. Go to original source...
  27. Shirom A, Melamed S (2006). A comparison of the construct validity of two burnout measures in two groups of professionals. Int J Stress Manag 13(2): 176-200. DOI: 10.1037/1072-5245.13.2.17. Go to original source...
  28. Shoman Y, Hostettler R, Guseva Canu I (2023). Psychometric validity of the Shirom-Melamed Burnout Measure and the Burnout Assessment Tool: a systematic review. Arh Hig Rada Toksikol 74(4): 238-244. DOI: 10.2478/aiht-2023-74-3769. Go to original source... Go to PubMed...
  29. Stock C (2015). Burnout: Erkennen und verhindern (Vol. 206). Haufe TaschenGuide 206, 129 p.
  30. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 60(1): 34-42. DOI: 10.1016/j.jclinepi.2006.03.012. Go to original source... Go to PubMed...

This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.