{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T16:56:31Z","timestamp":1777913791425,"version":"3.51.4"},"reference-count":64,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:00:00Z","timestamp":1771027200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["West J Nurs Res"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients with cancer and their friend\/family caregivers experience emotional strain across the cancer trajectory, from diagnosis and curative treatment to palliative care. Thus, there is a need for therapies that can support emotional health and well-being. Given the emotional health benefits from nature exposure, nature-based virtual reality (VR) may hold promise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We aimed to examine and synthesize the literature on nature-based virtual reality to improve emotional support and well-being among patients with cancer and their caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a scoping review, searching 6 databases. The initial search focused on caregiving, cancer, nature, and VR. After very limited results, a broader search was constructed focusing on cancer, nature, and virtual reality. Screening criteria included cancer caregiving, nature-based VR, well-being, and emotional outcomes. Eligible articles included patients with cancer, cancer caregivers, and nature-based VR interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Following screening, 35 articles were included: 24 implementing immersive nature-based VR with adult patients with cancer, 1 with only caregivers, 10 involved children and were a mix (3 with caregiver-child dyads; 7 children only). Most studies were conducted during clinic procedures, often with the caregiver present and\/or participating. Improvements in emotional health and\/or well-being were reported in the majority of studies. Overall, the quality of included studies was low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Nature-based VR has the potential to promote improvement in emotional health and well-being for patients with cancer; however, studies of higher quality are needed. Further, there is a gap in the science regarding the use of nature-based VR for emotional support among caregivers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01939459251414790","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T18:27:13Z","timestamp":1771093633000},"page":"566-582","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Nature-Based Virtual Reality: A Scoping Review of Cancer Care"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1608-8505","authenticated-orcid":false,"given":"Gwen","family":"Wyatt","sequence":"first","affiliation":[{"name":"College of Nursing, Michigan State University, East Lansing, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9249-4981","authenticated-orcid":false,"given":"Jessica","family":"Sender","sequence":"additional","affiliation":[{"name":"College of Nursing, Michigan State University, East Lansing, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5091-8408","authenticated-orcid":false,"given":"Rebecca","family":"Lehto","sequence":"additional","affiliation":[{"name":"College of Nursing, Michigan State University, East Lansing, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0740-4717","authenticated-orcid":false,"given":"Arienne","family":"Patano","sequence":"additional","affiliation":[{"name":"College of Nursing, Michigan State University, East Lansing, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd18.210006"},{"key":"e_1_3_3_3_2","unstructured":"National Alliance for Caregiving. 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