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Quantitative Systematic Review Chapter 4: RESULTS 4.1 Chapter Introduction Wound dressing procedures are painful and can negatively affect patient satisfaction with care. Healthcare providers pay close attention to the patient’s pain, but their ability to reduce pain is still insufficient. Pharmacological products dominate pain management strategies in many clinical settings. However, clinicians are increasingly using virtual reality and other nonpharmacological interventions to reduce pain perception among patients. VR technology, in particular, is becoming prominent in wound care settings with good results in clinical nursing. However, there is a knowledge gap, and many practitioners are reluctant to use this intervention due to limited knowledge concerning its efficacy, safety, and sustainability. Some practitioners argue that it is unclear whether distraction intervention using virtual reality can relieve pain during medical procedures. This chapter presents the systematic review's findings, starting with the search strategy results, then a description of the included studies and their findings. Objective: The objective of this review is to determine if distraction using virtual reality technology during painful procedures such as wound dressing can reduce the experience of pain. 4.2: Results of the Search The literature search generated 527 articles, n=404 articles from the COCHRANE Central database, and the rest from the CINAHL (n=42), PubMed (n=19), (appendix 3), and Medline (27). Reviewing the abstracts and article titles revealed that only 80 articles contained information relevant to the study topic. Four hundred forty-seven articles were excluded since they did not satisfy the inclusion criteria. The full articles were retrieved for further review. However, further comparison of the full-text articles with the eligibility criteria excluded fifty-
