With the issue of burnout, the nurse working in the healthcare facility is supposed to ensure the provision of the best quality care as possible for all their patients no regardless of their cultural values, beliefs, preferences and health behaviors; especially when dealing with children since the intervention of parents and other caregivers will be paramount.  However, in the event that the nurse is suffering from burnout, the respective cultural of quality and safety of care for these patients will be lost. Such a case is going to also have an effect on the various diverse factors that will include the failure of care and management of pain for the child patient, harmful or dangerous care outcomes for the patient. In addition, the healthcare facility will also suffer with the poor disregard, CMS or JCO violation or even lead to closure of the facility (Edgoose, Regner, & Zakletskaia, 2015).  Some of the problems that come with the nurse burnout has also had an effect on the complexities related to healthcare systems, which is very vital to the recognition of those factors which will in essence affect the patient and nursing environment.

2.0 Literature Review

The literature for this project was conducted using the following database: Cumulative Index to Nursing and Allied Health Literature (CINHAL), Medline, ProQuest, Cochrane Library, HubMed, JSTOR, and Google Scholar which utilized the literature that was published within the past five years. The main areas of interest for this search included finding articles that are related to nursing burnout and the key words included: burnout, paediatric wards, pain management, quality care, hospitalized patients, curriculum, education, barriers and nursing practice environment.  After this the scholarly literature was reviewed and articles that discussed the long term care, Pediatric care, and burnout were selected. Some organisations which were also reviewed included International Association for the study of Pain and American Academy of Pain Management (Edgoose, Regner, & Zakletskaia, 2015). Other articles were also found and analysed and read to pick out the necessary content with were related to the assignment. The total number of articles viewed were about 20 with most of them being necessary on the literature review, cohort studies and single qualitative and descriptive studies.

As a way to narrow on the field of study, on the required articles were inclusive in randomizing the controlled trial which were selected with rest of eliminated. In this regard, there were about 17 articles found (Berkowitz, 2016). The final and deciding factor for the selection of articles was based in regard to positive results and outcomes that eliminated others. In this regard, the top five were also selected for this task.  In this regard, two research evidence based articles were considered and they included Abarghouei, Sorbi, Abarghouei, Bidaki, & Yazdanpoor, (2016) and Asefzadeh, Kalhor, & Tir, (2017). The former provided information that related to how longer shifts in the Pediatric wards were responsible to burnout in nurses. In this regard the authors also provide for a strong evidence from the study of three common healthcare facility identifiers which were used as a sample population of over 22,000 participants. However because of the fact that the study was cross sectional in nature, with a high number of limitations due to time that the study was dated, leading to more prevalent publications. Also the latter  provided for an exemplary study of on the effect of environment which provides for more propensity of the nursing care burnout with a cross section of survey that was conducted among nurses, patients and Pediatric healthcare facilities (Abarghouei, Sorbi, Abarghouei, Bidaki, & Yazdanpoor, 2016).  However the date was maintained at a five year limited as requirement of the current assignment.

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In addition, there were two no research articles that were considered, the articles were evidently sourced in which considered Berkowitz (2016) and Edgoose, Regner, & Zakletskaia, (2015). In respect to Berkowitz (2016) the researcher discussed more about the satisfaction of patients and their experience in the way nurses management their situation in the event of burnout.  The article was important as a resource which was mainly based on the opinion of the authors, with no important data used in establishment of any substantial evidence. In this manner, as it was part of disregard to this assignment, the latter article by Berkowitz, (2016)  was also put in consideration as the authors were able to present important suggestions on the reasons nurses working on pain management among Pediatrics suffered burnout fr