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新冠疫情对护士法定儿童虐待报告的影响:同情疲劳的中介作用。

Effects of COVID on Mandated Child Abuse Reporting Among Nurses: The Mediating Role of Compassion Fatigue.

作者信息

Stevenson Margaret C, Ravipati Vaishnavi M, Schaefer Cynthia T

机构信息

Kenyon College, Gambier, OH, USA.

University of Cincinnati, Cincinnati, OH, USA.

出版信息

Child Maltreat. 2024 Aug;29(3):487-499. doi: 10.1177/10775595241240755. Epub 2024 Mar 28.

DOI:10.1177/10775595241240755
PMID:38544477
Abstract

Because COVID triggered elevated rates of child abuse, but diminished rates of child abuse reporting, we explored predictors of nurses' attitudes toward reporting suspected child abuse during the COVID pandemic. In particular, we expected that compassion fatigue and compassion satisfaction would mediate the effects of COVID-related stressors (i.e., exposure to COVID patient death and suffering; COVID-related family income loss; frequent direct care of COVID patients; and parental burnout) on nurses' negative attitudes toward reporting suspected child abuse. Employing chain-referral sampling, we recruited a sample of 244 registered nurses (83% White; 87% women). Supporting hypotheses, compassion fatigue mediated the effects of job-related COVID stressors (exposure to COVID patient death and suffering; COVID-related family income loss; and frequent direct care of COVID patients) on nurses' negative attitudes toward reporting suspected child abuse. In addition, among nurses who were also parents, nurses' self-reported parental burnout mediated the relation between compassion fatigue and negative attitudes toward reporting suspected child abuse. In addition, compassion satisfaction mediated the effect of nurses' parental burnout on nurses' negative attitudes toward reporting suspected child abuse.

摘要

由于新冠疫情引发了儿童虐待率的上升,但儿童虐待报告率却有所下降,我们探讨了护士在新冠疫情期间对报告疑似儿童虐待态度的预测因素。具体而言,我们预计同情疲劳和同情满足感会介导新冠相关压力源(即接触新冠患者的死亡和痛苦;与新冠相关的家庭收入损失;频繁直接护理新冠患者;以及父母倦怠)对护士报告疑似儿童虐待的消极态度的影响。我们采用链式推荐抽样法,招募了244名注册护士作为样本(83%为白人;87%为女性)。支持假设的是,同情疲劳介导了与工作相关的新冠压力源(接触新冠患者的死亡和痛苦;与新冠相关的家庭收入损失;以及频繁直接护理新冠患者)对护士报告疑似儿童虐待的消极态度的影响。此外,在也是父母的护士中,护士自我报告的父母倦怠介导了同情疲劳与报告疑似儿童虐待的消极态度之间的关系。此外,同情满足感介导了护士的父母倦怠对护士报告疑似儿童虐待的消极态度的影响。

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