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longitudinal researches started to emerge concerning the links between work environment,<br />

and people’s thoughts and feelings (Maslach et al., 2001). It was also in 1990, in Poland, that<br />

they held the first European Conference on Professional Burnout. From this conference a<br />

book emerged written by Schaufeli, Maslach & Marek (1993). This book showed the state of<br />

the burnout literature up to about 1993 and suggested directions for research. In 1993 burnout<br />

research borrowed a great deal from general psychological concepts (e.g., stress, existential<br />

psychology etc.) thus it didn’t have a central theoretical background concerning its research.<br />

Today burnout research has tried to develop more refined theories of burnout (Halbesleben &<br />

Buckley, 2004). Schaufeli et al. (1993) noted that the original definition of burnout and most<br />

of its research was limited to those in human service roles (teachers, nurses, and social<br />

workers). To expand the occupational groups in the research of burnout, Leiter & Schaufeli<br />

(1996) did a study with almost 4 000 participants, including maintenance staff, technical<br />

workers, nurses, and managers within the healthcare industry. This research led to the<br />

argument that the study of burnout should not be limited to only service occupations.<br />

Burnout was, according to Maslach (1982) considered a syndrome of emotional exhaustion,<br />

depersonalization, and reduced personal accomplishment that can occur among individuals<br />

who do “people work” of some kind. It is a response to the chronic emotional strain of dealing<br />

with other human beings, particularly when they are troubled or having problems. Thus,<br />

burnout could be mentioned as a type of response to work-related stress. Although it has some<br />

of the same negative effects as other stress responses, what is unique about burnout is that the<br />

stress arises from the social interaction between for example the nurse and the patient.<br />

According to Halbesleben & Buckley (2004), today the common definition of burnout is that<br />

it is a psychological response to work stress characterized by emotional exhaustion,<br />

depersonalization and reduced personal accomplishment.<br />

There has been some questioning whether burnout is a separate phenomenon from other<br />

already well established constructs, like depression and job satisfaction. Earlier studies did<br />

find that burnout was related to anxiety and depression. However, after more research in the<br />

area had been done, studies confirmed dissimilarities between depression and burnout (see for<br />

example Glass & McKnight, 1996; Leiter & Durup, 1994). Schaufeli, Enzmann & Girault<br />

(1993, in Halbesleben & Buckley, 2004) said that there is a common language for the study of<br />

burnout which came in the form of the Maslach Burnout Inventory (Maslach & Jackson,

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