UHN Digital, University Health Network, Toronto, Ontario, Canada.
Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
BMJ Open. 2019 Feb 15;9(2):e026338. doi: 10.1136/bmjopen-2018-026338.
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.
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.
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.
同情和关爱护理的概念在卫生专业人员教育和提供高质量医疗保健方面发挥着越来越重要的作用。然而，在同情护理的概念化中没有考虑数字环境，也没有关于在使用数字健康技术时如何实施同情护理的指导。数字健康技术的广泛传播为同情护理提供了新的环境，既有新形式和实例化同情的机会，也有新的挑战。在这个不断发展的数字领域中，同情是如何被理解和实施的，还没有被综合起来。
本范围综述协议遵循 Arksey 和 O'Malley 的方法，研究当数字技术整合到临床护理中时，有同情心的专业实践的各个方面。将使用医学图书馆员开发的搜索策略来确定相关的同行评审文献，该策略适用于六个医学、计算机和信息系统学科的数据库。使用包括（1）标题和摘要扫描，以及（2）全文审查的两阶段筛选过程来确定文章的资格。筛选、摘要和图表将由两名独立的审查员进行，当无法达成共识时，第三名审查员可提供解决方案。为了研究该领域当前研究的范围，将对提取的数据进行主题分析，并由内容专家进行验证。在必要时，将计算描述性统计数据。
本范围综述不需要研究伦理批准和参与同意。审查的结果将为加拿大慈善组织 Associated Medical Services (AMS) Healthcare 的资源开发和战略提供信息，该组织是在健康和人文科学领域推进研究和领导力发展的前沿组织，作为 AMS Phoenix Project 的一部分：关怀呼吁，特别是针对数字专业框架，以便它们包括同情能力。
