Appropriate strategies in this regard would help improve the occupational health of paediatric nurses and the quality of care received by their patients and also contribute to optimising work conditions. Detailed knowledge of the variables related to this syndrome, an estimation of the prevalence of each of its dimensions, and an understanding of the context in which these professionals work are all essential elements in the design and implementation of strategies for the treatment and prevention of burnout. However, those in paediatric and neonatal units are also subject to high levels of stress and are at risk of burnout. Nurses working in oncology and critical care units are generally regarded as being most susceptible to developing this syndrome. There is a high prevalence of burnout among nursing professionals. The resulting deterioration in the quality of healthcare is, in turn, detrimental to the users of healthcare services. When nurses experience this syndrome, the healthcare institution is also negatively affected because of increased workplace absenteeism and nursing turnover. ДЄll of these factors make nursing professionals particularly vulnerable to burnout. Other stressful situations that nurses must routinely cope with include obligatory rotating shifts, work overload because of understaffing and, in certain cases, care of the terminally ill. All of these factors can trigger burnout syndrome, generating symptoms such as fatigue, memory problems, depression, anxiety, sleep disorders, irritability or substance abuse. The nursing profession demands high levels of social responsibility, and problems that can arise on a daily basis include work overload, lack of autonomy or authority to make decisions, and difficulty in reconciling family life and work. Healthcare professionals, especially nurses, are a high-risk group that is especially prone to the syndrome. The syndrome is more prevalent in service professions such as teaching, the police and health care. Workers may be continuously subjected to stressors both at work and in the home.

Burnout syndrome among paediatric nurses is characterised by the following effects: (i) emotional exhaustion (EE) with progressive loss of energy (ii) depersonalisation (D), reflected in negative attitudes towards patients and co-workers (iii) feelings of low personal accomplishment (PA) or loss of confidence.

In recent years, the question of occupational burnout has caught the attention of researchers and professionals, who have used various instruments to analyse and measure the factors associated with this condition. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Д¬ompeting interests: The authors have declared that no competing interests exist. De la Fuente and funded by the Regional Government of Andalusia (Spain).

This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Дata Availability: All relevant data are within the paper and its Supporting Information files.ДЇunding: The research was carried out within the framework of Research Project P11HUM-7771, directed by PhD Emilia I. Received: OctoAccepted: MaPublished: April 25, 2018Д¬opyright: В© 2018 Pradas-HernГЎndez et al. PLoS ONE 13(4):Д®ditor: Mohamad Alameddine, Mohammed bin Rashid University of Medicine and Health Sciences, UNITED ARAB EMIRATES Citation: Pradas-HernГЎndez L, Ariza T, GГіmez-Urquiza JL, AlbendГn-GarcГa L, De la Fuente EI, CaГ±adas-De la Fuente GA (2018) Prevalence of burnout in paediatric nurses: A systematic review and meta-analysis.

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