{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T02:52:30Z","timestamp":1773283950450,"version":"3.50.1"},"reference-count":39,"publisher":"SAGE Publications","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Introduction<\/jats:title>\n Needle procedures can be very painful for children and generate stress and anxiety. Virtual reality (VR) has been used to enhance a child's distraction for pain control during these procedures. This study aims to identify the advantages and limitations of VR used for pain control in procedures using needles in pediatrics.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Studies were limited to children aged 4\u201318 years undergoing a procedure involving needles and the use of VR with goggles, headset, or helmet. A comprehensive search strategy using CINAHL Complete, MedicLatina, Medline Complete, B-on, LILACS, and SciELO databases was undertaken to find relevant studies published from January 2015 to April 2020. The retained studies included experimental and quasi-experimental, randomized controlled trials and nonrandomized controlled trials as well as prospective and retrospective studies.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The search yielded 80 articles. Of these, six articles met the inclusion criteria. Advantages found with the use of VR were (a) decrease of pain; (b) improvement of communication; (c) increased probability of success in performing the procedures; (d) reduction of anxiety, stress, distress, and fear; (e) easier handling of equipment; (f) almost complete isolation of external noise; and (g) low cost, lightness, and ease of transportation. Disadvantages reported were goggles' size and annoyance from repeated play and the occasional side effect of nausea.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n VR is considered an interactive digital therapeutic toy used with positive effects in clinical practice. As children become calmer, VR can also reduce nursing stress and improve communication between children and nurses.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/jps.0000000000000294","type":"journal-article","created":{"date-parts":[[2021,4,9]],"date-time":"2021-04-09T15:28:57Z","timestamp":1617982137000},"page":"161-167","source":"Crossref","is-referenced-by-count":0,"title":["Virtual Reality as a Nonpharmacological Strategy in Pediatric Pain Control During Procedures With Needle 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