{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T09:02:09Z","timestamp":1792918929553,"version":"4.5.0"},"reference-count":52,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","pediatricnursing.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Nursing"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1016\/j.pedn.2025.05.015","type":"journal-article","created":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T11:37:19Z","timestamp":1747827439000},"page":"49-56","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["The effect of ShotBlocker on pain and satisfaction during measles-rubella-mumps vaccination: A randomized controlled trial"],"prefix":"10.1016","volume":"84","author":[{"given":"Veysel","family":"Can","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nesrullah","family":"Ay\u015fin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Bulduk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiyan Tan","family":"Ay\u015fin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuf","family":"Dilbilir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.pedn.2025.05.015_bb0005","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1111\/j.1365-2702.2006.01583.x","article-title":"The Turkish version of the Newcastle satisfaction with nursing care scale used on medical and surgical patients","volume":"16","author":"Akin","year":"2007","journal-title":"Journal of Clinical Nursing"},{"issue":"10","key":"10.1016\/j.pedn.2025.05.015_bb0010","doi-asserted-by":"crossref","first-page":"996","DOI":"10.15537\/smj.2019.10.24322","article-title":"Comparison of the efficacy of ShotBlocker and cold spray in reducing intramuscular injection-related pain in adults: A prospective, randomized, controlled trial","volume":"40","author":"Bilge","year":"2019","journal-title":"Saudi Medical Journal"},{"issue":"22","key":"10.1016\/j.pedn.2025.05.015_bb0015","doi-asserted-by":"crossref","first-page":"2252","DOI":"10.1001\/jama.2022.21022","article-title":"Guidelines for reporting outcomes in trial reports: The CONSORT-outcomes 2022 extension","volume":"328","author":"Butcher","year":"2022","journal-title":"JAMA"},{"issue":"2","key":"10.1016\/j.pedn.2025.05.015_bb0020","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1097\/JPN.0000000000000256","article-title":"Effectiveness of ShotBlocker for immunization pain in full-term neonates: A randomized controlled trial","volume":"31","author":"Caglar","year":"2017","journal-title":"The Journal of Perinatal & Neonatal Nursing"},{"issue":"1","key":"10.1016\/j.pedn.2025.05.015_bb0025","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.pmn.2014.03.003","article-title":"Effectiveness of external cold and vibration for procedural pain relief during peripheral intravenous cannulation in pediatric patients","volume":"16","author":"Canbulat","year":"2015","journal-title":"Pain Management Nursing"},{"issue":"1","key":"10.1016\/j.pedn.2025.05.015_bb0030","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.anr.2013.12.001","article-title":"Efficacy of distraction methods on procedural pain and anxiety by applying distraction cards and kaleidoscope in children","volume":"8","author":"Canbulat","year":"2014","journal-title":"Asian Nursing Research"},{"issue":"3","key":"10.1016\/j.pedn.2025.05.015_bb0035","first-page":"117","article-title":"Kas i\u00e7i enjeksiyona ba\u011fl\u0131 a\u011fr\u0131y\u0131 azaltma","volume":"28","author":"\u00c7elik","year":"2012","journal-title":"Ege \u00dcniversitesi Hem\u015firelik Fak\u00fcltesi Dergisi"},{"issue":"9","key":"10.1016\/j.pedn.2025.05.015_bb0040","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1097\/AJP.0b013e3181af1324","article-title":"A randomized controlled trial of the ShotBlocker for children\u2019s immunization distress","volume":"25","author":"Cobb","year":"2009","journal-title":"The Clinical Journal of Pain"},{"issue":"5","key":"10.1016\/j.pedn.2025.05.015_bb0045","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1016\/j.ajem.2008.04.011","article-title":"Efficacy of ShotBlocker in reducing pediatric pain associated with intramuscular injections","volume":"27","author":"Drago","year":"2009","journal-title":"The American Journal of Emergency Medicine"},{"key":"10.1016\/j.pedn.2025.05.015_bb0050","author":"D\u00fczkaya"},{"key":"10.1016\/j.pedn.2025.05.015_bb0055","series-title":"Pediatric health, medicine and therapeutics","first-page":"127","article-title":"Minimizing pain during childhood vaccination injections: Improving adherence to vaccination schedules","author":"Eden","year":"2014"},{"issue":"3","key":"10.1016\/j.pedn.2025.05.015_bb0060","first-page":"1669","article-title":"Effects of ShotBlocker on relief of pain due to hepatitis B vaccine injection into deltoid muscle","volume":"10","author":"Emel","year":"2017","journal-title":"International Journal of Caring Sciences"},{"issue":"2","key":"10.1016\/j.pedn.2025.05.015_bb0065","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1089\/bfm.2016.0141","article-title":"Efficacy of breastfeeding on babies' pain during vaccinations","volume":"12","author":"Erkul","year":"2017","journal-title":"Breastfeeding Medicine"},{"issue":"1","key":"10.1016\/j.pedn.2025.05.015_bb0070","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1186\/s12905-024-03120-0","article-title":"Assessment of mothers\u2019 satisfaction towards child vaccination service in south Omo zone, South Ethiopia region: A survey on clients\u2019 perspective","volume":"24","author":"Fikadu","year":"2024","journal-title":"BMC Women\u2019s Health"},{"key":"10.1016\/j.pedn.2025.05.015_bb0075","first-page":"1","article-title":"Is the ShotBlocker effective in reducing immunization pain","volume":"12","author":"Foster","year":"2005","journal-title":"Research News"},{"issue":"3","key":"10.1016\/j.pedn.2025.05.015_bb0080","first-page":"290","article-title":"Let\u2019s prefer the pain reducing intervention, buzzy or ShotBlocker: A randomized controlled trial","volume":"10","author":"Girgin","year":"2020","journal-title":"\u0130zmir Dr. Beh\u00e7et Uz \u00c7ocuk Hast. Dergisi"},{"key":"10.1016\/j.pedn.2025.05.015_bb0085","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.pedn.2023.08.024","article-title":"Effects of applications manual pressure and shotblocker to reduce needle-related pain and fear in children with type 1 diabetes mellitus","volume":"73","author":"Girgin","year":"2023","journal-title":"Journal of Pediatric Nursing"},{"issue":"2","key":"10.1016\/j.pedn.2025.05.015_bb0090","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1111\/wvn.12206","article-title":"Effects of rapid vaccine injection without aspiration and applying manual pressure before vaccination on pain and crying time in infants","volume":"14","author":"G\u00f6l","year":"2017","journal-title":"Worldviews on Evidence-Based Nursing"},{"issue":"1","key":"10.1016\/j.pedn.2025.05.015_bb0095","first-page":"39","article-title":"Evidence-based applications to reduce pain in vaccine injections","volume":"3","author":"G\u00f6l","year":"2017","journal-title":"Turkiye Klinikleri J Public Health Nurs-Special Topics"},{"key":"10.1016\/j.pedn.2025.05.015_bb0100","author":"Guevarra"},{"key":"10.1016\/j.pedn.2025.05.015_bb0105","author":"Health General Directorate of Primary Health Care Services"},{"issue":"1","key":"10.1016\/j.pedn.2025.05.015_bb0110","doi-asserted-by":"crossref","first-page":"182","DOI":"10.38108\/ouhcd.1093301","article-title":"\u0130ntram\u00fcsk\u00fcler Enjeksiyon A\u011fr\u0131s\u0131n\u0131 Azaltmaya Y\u00f6nelik B\u00f6lge ve Y\u00f6ntemler \u0130le \u0130lgili Tezler: Sistematik Bir Derleme","volume":"6","author":"\u0130nce","year":"2023","journal-title":"Ordu \u00dcniversitesi Hem\u015firelik \u00c7al\u0131\u015fmalar\u0131 Dergisi"},{"key":"10.1016\/j.pedn.2025.05.015_bb0115","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1016\/j.pedn.2024.08.006","article-title":"Effectiveness of ShotBlocker application on reducing the pain of needle-related procedures in children: A systematic review and meta-analysis","volume":"78","author":"\u0130yi","year":"2024","journal-title":"Journal of Pediatric Nursing"},{"key":"10.1016\/j.pedn.2025.05.015_bb0120","series-title":"Wong\u2019s nursing care of infants and children","first-page":"179","article-title":"Pain assessment and management in children","author":"Jacob","year":"2011"},{"issue":"1","key":"10.1016\/j.pedn.2025.05.015_bb0125","doi-asserted-by":"crossref","first-page":"89","DOI":"10.34108\/eujhs.1123965","article-title":"Compar\u0131son of manual pressure and shotblocker on pa\u0131n and sat\u0131sfact\u0131on \u0131n \u0131ntramuscular \u0131nject\u0131on: A random\u0131zed controlled tr\u0131al","volume":"32","author":"Kaplan","year":"2023","journal-title":"Sa\u011fl\u0131k Bilimleri Dergisi"},{"key":"10.1016\/j.pedn.2025.05.015_bb0130","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13052-016-0218-y","article-title":"Effect of flick application on pain level and duration of crying during infant vaccination","volume":"42","author":"Karaca Ciftci","year":"2016","journal-title":"Italian Journal of Pediatrics"},{"issue":"5","key":"10.1016\/j.pedn.2025.05.015_bb0135","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/wvn.12099","article-title":"The effect of foot reflexology on acute pain in infants: A randomized controlled trial","volume":"12","author":"Ko\u00e7","year":"2015","journal-title":"Worldviews on Evidence-Based Nursing"},{"issue":"3","key":"10.1016\/j.pedn.2025.05.015_bb0140","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.18203\/2349-3291.ijcp20191021","article-title":"Comparison of the effectiveness of oral sucrose solution and topical anaesthetics during immunization in infants between age 6 weeks-6 months","volume":"6","author":"Kumar","year":"2019","journal-title":"International Journal of Contemporary Pediatrics"},{"issue":"9","key":"10.1016\/j.pedn.2025.05.015_bb0145","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0257590","article-title":"Knowledge of mothers regarding children\u2019s vaccinations in Cyprus: A cross-sectional study","volume":"16","author":"Kyprianidou","year":"2021","journal-title":"PLoS One"},{"key":"10.1016\/j.pedn.2025.05.015_bb0150","doi-asserted-by":"crossref","DOI":"10.1590\/0034-7167-2023-0399","article-title":"Utilization of local pressure devices in pain management during injections: Scoping review","volume":"77","author":"Moura","year":"2024","journal-title":"Revista Brasileira de Enfermagem"},{"key":"10.1016\/j.pedn.2025.05.015_bb0155","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.pedn.2017.09.009","article-title":"Effects of thermomechanical stimulation during vaccination on anxiety, pain, and satisfaction in pediatric patients: A randomized controlled trial","volume":"38","author":"Redfern","year":"2018","journal-title":"Journal of Pediatric Nursing"},{"issue":"6","key":"10.1016\/j.pedn.2025.05.015_bb0160","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1177\/1558944719884655","article-title":"The effectiveness of a non-invasive shot blocking device for reducing pain of in-office injections in hand surgery","volume":"16","author":"Rinker","year":"2021","journal-title":"Hand"},{"key":"10.1016\/j.pedn.2025.05.015_bb0165","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2288-4-26","article-title":"Random allocation software for parallel group randomized trials","volume":"4","author":"Saghaei","year":"2004","journal-title":"BMC Medical Research Methodology"},{"issue":"3","key":"10.1016\/j.pedn.2025.05.015_bb0170","doi-asserted-by":"crossref","first-page":"283","DOI":"10.5152\/jern.2021.82642","article-title":"Effect of buzzy\u00ae application on pain during subcutaneous application in children","volume":"19","author":"\u015eahin","year":"2022","journal-title":"Journal of Educat\u0131on and Research in Nurs\u0131ng"},{"issue":"3","key":"10.1016\/j.pedn.2025.05.015_bb0175","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.jopan.2014.05.011","article-title":"The effect of combined stimulation of external cold and vibration during immunization on pain and anxiety levels in children","volume":"30","author":"\u015eahiner","year":"2015","journal-title":"Journal of Perianesthesia Nursing"},{"key":"10.1016\/j.pedn.2025.05.015_bb0180","doi-asserted-by":"crossref","DOI":"10.1016\/j.ctim.2021.102688","article-title":"Effects of applying external cold and vibration to children during vaccination on pain, fear and anxiety","volume":"58","author":"Sap\u00e7i","year":"2021","journal-title":"Complementary Therapies in Medicine"},{"issue":"5","key":"10.1016\/j.pedn.2025.05.015_bb0185","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1177\/10547738211051877","article-title":"Effectiveness of two different methods on the perceived pain and satisfaction during intramuscular antibiotic injection: Shotblocker and local vibration","volume":"31","author":"Savc\u0131","year":"2022","journal-title":"Clinical Nursing Research"},{"issue":"1","key":"10.1016\/j.pedn.2025.05.015_bb0190","first-page":"1","article-title":"\u00c7ocuklarda postoperatif a\u011fr\u0131n\u0131n FLACC (YBAAT) a\u011fr\u0131 skalas\u0131yla de\u011ferlendirilmesi","volume":"4","author":"\u015eenayl\u0131","year":"2006","journal-title":"Turkiye Klinikleri Journal of Anesthesiology Reanimation"},{"issue":"1","key":"10.1016\/j.pedn.2025.05.015_bb0195","doi-asserted-by":"crossref","first-page":"E9","DOI":"10.1097\/NCQ.0000000000000656","article-title":"The effect of buzzy application on pain level during vaccine injection in infants","volume":"38","author":"\u015e\u0131kta\u015f","year":"2023","journal-title":"Journal of Nursing Care Quality"},{"issue":"8","key":"10.1016\/j.pedn.2025.05.015_bb0200","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1097\/PEC.0000000000002866","article-title":"The effect of 3 methods (buzzy, ShotBlocker, and DistrACTION cards) used while taking blood samples from children with pain and anxiety: A randomized controlled trial","volume":"39","author":"Sivri","year":"2023","journal-title":"Pediatric Emergency Care"},{"issue":"4","key":"10.1016\/j.pedn.2025.05.015_bb0205","doi-asserted-by":"crossref","first-page":"486","DOI":"10.4040\/jkan.2019.49.4.486","article-title":"The effect on pain of buzzy\u00ae and ShotBlocker\u00ae during the administration of intramuscular injections to children: A randomized controlled trial","volume":"49","author":"Sivri Bilgen","year":"2019","journal-title":"Journal of Korean Academy of Nursing"},{"issue":"13","key":"10.1016\/j.pedn.2025.05.015_bb0210","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1503\/cmaj.150391","article-title":"Reducing pain during vaccine injections: Clinical practice guideline","volume":"187","author":"Taddio","year":"2015","journal-title":"CMAJ"},{"issue":"6","key":"10.1016\/j.pedn.2025.05.015_bb0215","doi-asserted-by":"crossref","first-page":"E227","DOI":"10.1503\/cmaj.160542","article-title":"Relative effectiveness of additive pain interventions during vaccination in infants","volume":"189","author":"Taddio","year":"2017","journal-title":"CMAJ"},{"issue":"2","key":"10.1016\/j.pedn.2025.05.015_bb0220","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1136\/qshc.5.2.67","article-title":"Newcastle satisfaction with nursing scales: An instrument for quality assessments of nursing care","volume":"5","author":"Thomas","year":"1996","journal-title":"BMJ Quality and Safety"},{"issue":"6","key":"10.1016\/j.pedn.2025.05.015_bb0225","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1093\/pch\/19.6.310","article-title":"Canadian paediatricians\u2019 approaches to managing patients with adverse events following immunization: The role of the special immunization clinic network","volume":"19","author":"Top","year":"2014","journal-title":"Paediatrics & Child Health"},{"key":"10.1016\/j.pedn.2025.05.015_bb0230","article-title":"Levels and associated factors of clients\u2019 satisfaction toward child immunization at Grassroot health care centers in Ho Chi Minh City, Vietnam","volume":"793-803","author":"Truong","year":"2023","journal-title":"Risk Management and Healthcare Policy"},{"issue":"3","key":"10.1016\/j.pedn.2025.05.015_bb0235","first-page":"278","article-title":"The effect of ShotBlocker on vaccination pain in infants","volume":"27","author":"Unesi","year":"2021","journal-title":"Hayat"},{"issue":"3","key":"10.1016\/j.pedn.2025.05.015_bb0240","first-page":"293","article-title":"The FLACC: A behavioral scale for scoring postoperative pain in young children","volume":"23","author":"Voepel-Lewis","year":"1997","journal-title":"Pediatric Nursing"},{"key":"10.1016\/j.pedn.2025.05.015_bb0245","doi-asserted-by":"crossref","first-page":"30","DOI":"10.3389\/fped.2020.00030","article-title":"Early neonatal pain\u2014A review of clinical and experimental implications on painful conditions later in life","volume":"8","author":"Williams","year":"2020","journal-title":"Frontiers in Pediatrics"},{"issue":"1","key":"10.1016\/j.pedn.2025.05.015_bb0250","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/TME.0000000000000330","article-title":"Shotblocker use in emergency care: A randomized clinical trial","volume":"43","author":"Yildirim","year":"2021","journal-title":"Advanced Emergency Nursing Journal"},{"issue":"4","key":"10.1016\/j.pedn.2025.05.015_bb0255","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.pmn.2017.03.005","article-title":"Effect of the use of buzzy\u00ae during phlebotomy on pain and individual satisfaction in blood donors","volume":"18","author":"Y\u0131lmaz","year":"2017","journal-title":"Pain Management Nursing"},{"issue":"5","key":"10.1016\/j.pedn.2025.05.015_bb0260","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/j.jen.2019.04.003","article-title":"Using buzzy, shotblocker, and bubble blowing in a pediatric emergency department to reduce the pain and fear caused by intramuscular injection: A randomized controlled trial","volume":"45","author":"Yilmaz","year":"2019","journal-title":"Journal of Emergency Nursing"}],"container-title":["Journal of Pediatric Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596325001666?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596325001666?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:17:45Z","timestamp":1757549865000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0882596325001666"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":52,"alternative-id":["S0882596325001666"],"URL":"https:\/\/doi.org\/10.1016\/j.pedn.2025.05.015","relation":{},"ISSN":["0882-5963"],"issn-type":[{"value":"0882-5963","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The effect of ShotBlocker on pain and satisfaction during measles-rubella-mumps vaccination: A randomized controlled trial","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pedn.2025.05.015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}