COVID-19 patient care predicts nurses' parental burnout and child abuse: Mediating effects of compassion fatigue

Child Abuse Negl. 2022 Aug;130(Pt 1):105458. doi: 10.1016/j.chiabu.2021.105458. Epub 2021 Dec 27.

Abstract

Background: Nurses who are also parents may be at risk not only for professional compassion fatigue, but also parental burnout - a reliable and valid predictor of child abuse and neglect. In support, recent research reveals that parents' COVID-19 related stressors predicted elevated potential for child abuse (Katz and Fallon, 2021).

Objective: We explored the harmful effects of the COVID-19 pandemic on nurses' parental burnout, child abuse, and child neglect, as mediated by compassion fatigue (i.e., a combination of job burnout and secondary traumatic stress).

Participants and setting: Participants were 244 nurses (M age = 32.4; 87% female) who were parents of young children (age 12 or under) recruited via chain referral sampling.

Methods: Participants completed an anonymous survey assessing the extent to which they care for COVID-19 patients, are exposed to patients suffering and dying from COVID-19, and have lost family income due to COVID-19. We also measured their compassion fatigue, compassion satisfaction, substance abuse, spouse conflict, parental burnout, child abuse, and child neglect.

Results: As hypothesized, direct care of COVID-19 patients, exposure to patient death and suffering due to COVID-19, and family income loss due to COVID-19 predicted greater compassion fatigue, which in turn, predicted greater parental burnout, child abuse, child neglect, spouse conflict, and substance abuse, (IEs ≥ 0.06, all ps < 0.05). Also, as compassion satisfaction increased, parental burnout, child abuse, child neglect, spouse conflict, and substance abuse decreased, rs ≥ -0.203, ps < 0.01.

Conclusions: Theoretical implications and practical implications for medical practice and child abuse prevention are discussed.

Keywords: Burnout; COVID-19; Child abuse; Child neglect; Compassion fatigue; Coronavirus; Nursing; Pandemic; Public health crisis; Spouse conflict; Substance abuse.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Burnout, Professional* / epidemiology
  • COVID-19* / epidemiology
  • Child
  • Child Abuse*
  • Child, Preschool
  • Compassion Fatigue* / epidemiology
  • Cross-Sectional Studies
  • Empathy
  • Female
  • Humans
  • Job Satisfaction
  • Male
  • Nurses*
  • Pandemics
  • Parents
  • Patient Care
  • Quality of Life
  • Surveys and Questionnaires