Background: Children and adolescent with serious burns require nursing and medical care to 
alleviate pain. As a non-pharmacological adjuvant analgesic used to divert children's attention, 
virtual reality (VR) has gained popularity. The study aimed to evaluate effect of virtual reality 
on distraction of children attention during dressing of second-degree burns. Subjects and 
method: Purposive Sampling of 50 children with second degree of burn participated in the study. 
The study was conducted at Pediatric Burn Unit of Plastic and Reconstructive Surgery 
department of Tanta University. Four tools were used to gather data: burn wound assessment, 
children behavioral distress observational check list, pain assessment tool, and physiological 
measurement sheet. Results: The study cleared that there were statistically significant 
differences in pain attention, behavioral distress and improving physiological parameters for 
children with second degree burn during dressing change using virtual reality distraction in study 
group than control group. Conclusion: Virtual reality as distraction technique appeared to be 
effective in reducing pain attention, behavioral distress and enhancing physiological parameters 
during dressing change in children with second degree burn. Recommendation: Creating 
periodic in-service educational program for all nurses working in the burn unit to learn about the 
use of virtual reality to lessen the pain associated with burn dressing.