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      Defining compassion in the digital health age: protocol for a scoping review

      protocol

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          Abstract

          Introduction

          The notion of compassion and compassionate care is playing an increasingly important role in health professional education and in the delivery of high-quality healthcare. Digital contexts, however, are not considered in the conceptualisation of compassionate care, nor is there guidance on how compassionate care is to be exercised while using digital health technologies. The widespread diffusion of digital health technologies provides new contexts for compassionate care, with both opportunities for new forms and instantiations of compassion as well as new challenges. How compassion is both understood and enacted within this evolving, digital realm has not been synthesised.

          Methods and analysis

          This scoping review protocol follows Arksey and O’Malley’s methodology to examine dimensions of compassionate professional practice when digital technologies are integrated into clinical care. Relevant peer-reviewed literature will be identified using a search strategy developed by medical librarians, which applies to six databases of medical, computer and information systems disciplines. Eligibility of articles will be determined using the two-stage screening process consisting of (1) title and abstract scan, and (2) full-text review. Screening, abstracting and charting will be conducted by two independent reviewers, with a third reviewer available for resolution when consensus is not achieved. In order to look at the range of current research in this area, extracted data will be thematically analysed and validated by content experts. Descriptive statistics will be calculated where necessary.

          Ethics and dissemination

          Research ethics approval and consent to participate is not required for this scoping review. The results of the review will inform resource development and strategy for Associated Medical Services (AMS) Healthcare, a Canadian charitable organisation at the forefront of advancing research and leadership development in health and humanities, as part of the AMS Phoenix Project: A Call to Caring, particularly for digital professionalism frameworks so that they are inclusive of a compassion competency.

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          Most cited references29

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          Guidance for conducting systematic scoping reviews.

          Reviews of primary research are becoming more common as evidence-based practice gains recognition as the benchmark for care, and the number of, and access to, primary research sources has grown. One of the newer review types is the 'scoping review'. In general, scoping reviews are commonly used for 'reconnaissance' - to clarify working definitions and conceptual boundaries of a topic or field. Scoping reviews are therefore particularly useful when a body of literature has not yet been comprehensively reviewed, or exhibits a complex or heterogeneous nature not amenable to a more precise systematic review of the evidence. While scoping reviews may be conducted to determine the value and probable scope of a full systematic review, they may also be undertaken as exercises in and of themselves to summarize and disseminate research findings, to identify research gaps, and to make recommendations for the future research. This article briefly introduces the reader to scoping reviews, how they are different to systematic reviews, and why they might be conducted. The methodology and guidance for the conduct of systematic scoping reviews outlined below was developed by members of the Joanna Briggs Institute and members of five Joanna Briggs Collaborating Centres.
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            mHealth for mental health: Integrating smartphone technology in behavioral healthcare.

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              Toward a common taxonomy of competency domains for the health professions and competencies for physicians.

              Although health professions worldwide are shifting to competency-based education, no common taxonomy for domains of competence and specific competencies currently exists. In this article, the authors describe their work to (1) identify domains of competence that could accommodate any health care profession and (2) extract a common set of competencies for physicians from existing health professions' competency frameworks that would be robust enough to provide a single, relevant infrastructure for curricular resources in the Association of American Medical Colleges' (AAMC's) MedEdPORTAL and Curriculum Inventory and Reports (CIR) sites. The authors used the Accreditation Council for Graduate Medical Education (ACGME)/American Board of Medical Specialties six domains of competence and 36 competencies delineated by the ACGME as their foundational reference list. They added two domains described by other groups after the original six domains were introduced: Interprofessional Collaboration (4 competencies) and Personal and Professional Development (8 competencies). They compared the expanded reference list (48 competencies within eight domains) with 153 competency lists from across the medical education continuum, physician specialties and subspecialties, countries, and health care professions. Comparison analysis led them to add 13 "new" competencies and to conflate 6 competencies into 3 to eliminate redundancy. The AAMC will use the resulting "Reference List of General Physician Competencies" (58 competencies in eight domains) to categorize resources for MedEdPORTAL and CIR. The authors hope that researchers and educators within medicine and other health professions will consider using this reference list when applicable to move toward a common taxonomy of competencies.
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                Author and article information

                Journal
                BMJ Open
                BMJ Open
                bmjopen
                bmjopen
                BMJ Open
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2044-6055
                2019
                15 February 2019
                : 9
                : 2
                : e026338
                Affiliations
                [1 ] departmentUHN Digital , University Health Network , Toronto, Ontario, Canada
                [2 ] departmentInstitute of Health Policy Management and Evaluation , University of Toronto , Toronto, Ontario, Canada
                [3 ] departmentDepartment of Psychiatry , University of Toronto , Toronto, Ontario, Canada
                [4 ] departmentThe Wilson Centre , University Health Network , Toronto, Ontario, Canada
                [5 ] Centre for Addiction and Mental Health , Toronto, Ontario, Canada
                [6 ] departmentMedical Psychiatry Alliance , University of Toronto , Toronto, Ontario, Canada
                [7 ] departmentLibrary and Information Services , University Health Network , Toronto, Ontario, Canada
                Author notes
                [Correspondence to ] Dr David Wiljer; david.wiljer@ 123456uhn.ca
                Author information
                http://orcid.org/0000-0002-8553-4006
                Article
                bmjopen-2018-026338
                10.1136/bmjopen-2018-026338
                6398782
                30772865
                ca1106ff-b9eb-4fd6-b6ad-8d74f710a9cc
                © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 27 August 2018
                : 11 December 2018
                : 20 December 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100000199, Associated Medical Services;
                Categories
                Research Methods
                Protocol
                1506
                1730
                Custom metadata
                unlocked

                Medicine
                compassion,empathy,digital health,ehealth,therapeutic alliance,professional-patient relations
                Medicine
                compassion, empathy, digital health, ehealth, therapeutic alliance, professional-patient relations

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