Thai Burnout Assessment Tool (T-BAT): Translation, validity, and reliability testing in nurses

Area of Science:

• Healthcare professional well-being
• Psychometric validation
• Cross-cultural adaptation of assessment tools

Background:

• The Burnout Assessment Tool (BAT) lacks validation in Thailand.
• Cultural and linguistic factors necessitate localized assessment tools for healthcare professionals.

Purpose of the Study:

• Translate the BAT into Thai (T-BAT).
• Evaluate the psychometric properties of the T-BAT among Thai nurses.
• Address the need for cross-cultural burnout assessment in nursing.

Main Methods:

• Cross-sectional survey of 1,005 Thai nurses.
• Back-translation of the BAT to ensure linguistic and cultural equivalence.
• Psychometric evaluation including internal consistency, known-group validity, confirmatory factor analysis, and Rasch analysis.

Main Results:

• The T-BAT demonstrated strong internal consistency (Cronbach's alpha = 0.93) and reliability (Person/item reliability > 0.80).
• Confirmatory factor analysis supported the four-factor model, and Rasch analysis indicated optimal item performance.
• The T-BAT showed significant known-group validity, differentiating burnout levels across nurse subgroups.

Conclusions:

• The T-BAT is a reliable and valid instrument for assessing burnout among Thai nurses.
• This culturally adapted tool facilitates context-specific understanding and management of nurse burnout.
• Findings support the use of T-BAT for informing healthcare policy and interventions in Thailand.