Compassionate primary care training and practice in the digital technology sphere: a scoping review protocol
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1. Glazier RH, Green ME, Wu FC, et al. Shifts in office and virtual primary care during the early COVID-19 pandemic in Ontario, Canada. CMAJ. 2021;193(6):E200-10. https://doi.org/10.1503/cmaj.202303
2. Wiljer D, Strudwick G, Crawford A. Caring in a digital age: exploring the interface of humans and machines in the provision of compassionate healthcare. In: Without compassion, there is no healthcare: leading with care in a technological age. 2020:33-57. https://doi.org/10.1515/9780228004615-005
3. Martimianakis M, Khan R, Stergiopoulos E, Briggs M, Fisman S. Toward compassionate healthcare organizations. In: Without compassion, there is no healthcare: leading with care in a technological age. McGill-Queen's University Press; 2020. p. 171-90. https://doi.org/10.1515/9780228004615-011
4. Strudwick G, Eyasu T. Electronic health record use by nurses in mental health settings: a literature review. Arch Psychiatr Nurs. 2015;29(4):238-41. https://doi.org/10.1016/j.apnu.2015.03.007
5. Donnelly T. Digital first primary care and how the nhs long term plan set a clear direction to mainstream digitally enabled care across the NHS. 2020. 2021.
6. Ndayishimiye C, Lopes H, Middleton J. A systematic scoping review of digital health technologies during COVID-19: a new normal in primary health care delivery. Health Technol. 2023;13(2):273-84. https://doi.org/10.1007/s12553-023-00725-7
7. Bhatia RS, Chu C, Pang A, et al. Virtual care use before and during the COVID-19 pandemic: a repeated cross-sectional study. CMAJ Open. 2021;9(1):E107-14. https://doi.org/10.9778/cmajo.20200311
8. De Vera K, Challa P, Liu RH, et al. Virtual primary care implementation during COVID-19 in high-income countries: a scoping review. Telemed E Health. 2022;28(7):920-31. https://doi.org/10.1089/tmj.2021.0377
9. Erku D, Khatri R, Endalamaw A, et al. Digital health interventions to improve access to and quality of primary health care services: a scoping review. Int J Environ Res Public Health. 2023;20(19):6854. https://doi.org/10.3390/ijerph20196854
10. Olakotan O, Samuriwo R, Ismaila H, Atiku S. Usability Challenges in Electronic Health Records: Impact on Documentation Burden and Clinical Workflow: A Scoping Review. Journal of Evaluation in Clinical Practice. 2025 Jun;31(4):e70189.
11. Shanafelt TD, Dyrbye LN, Sinsky C, Hasan O, Satele D, Sloan J, West CP. Relationship between clerical burden and characteristics of the electronic environment with physician burnout and professional satisfaction. InMayo clinic proceedings 2016 Jul 1 (Vol. 91, No. 7, pp. 836-848). Elsevier.
12. Agarwal P, Lall R, Girdhari R. Artificial intelligence scribes in primary care. CMAJ. 2024 Sep 16;196(30):E1042-.
13. Ghatnekar S, Faletsky A, Nambudiri VE. Digital scribe utility and barriers to implementation in clinical practice: a scoping review. Health and Technology. 2021 Jul;11(4):803-9.
14. Tierney AA, Gayre G, Hoberman B, Mattern B, Ballesca M, Kipnis P, Liu V, Lee K. Ambient artificial intelligence scribes to alleviate the burden of clinical documentation. NEJM Catalyst Innovations in Care Delivery. 2024 Feb 21;5(3):CAT-23.
15. Liberati E, Richards N, Parker J, et al. Remote care for mental health: qualitative study with service users, carers and staff during the COVID-19 pandemic. BMJ Open. 2021;11(4):e049210. https://doi.org/10.1136/bmjopen-2021-049210
16. Andreadis K, Muellers K, Ancker JS, et al. Telemedicine impact on the patient-provider relationship in primary care during the COVID-19 pandemic. Med Care. 2023;61:S83-8. https://doi.org/10.1097/MLR.0000000000001808
17. Elma A, Cook D, Howard M, et al. Use of video technology in end-of-life care for hospitalized patients during the COVID-19 pandemic. Am J Crit Care. 2022;31(3):240-8. https://doi.org/10.4037/ajcc2022722
18. Tai-Seale M, Olson CW, Li J, Chan AS, Morikawa C, Durbin M, et al. Electronic Health Record Logs Indicate That Physicians Split Time Evenly Between Seeing Patients And Desktop Medicine. Health Affairs. 2017;36(4):655-62.
19. Sinsky C, Colligan L, Li L, Prgomet M, Reynolds S, Goeders L, et al. Allocation of physician time in ambulatory practice: a time and motion study in 4 specialties. Annals of internal medicine. 2016;165(11):753- 60.
20. Rowland P, Kumagai AK. Dilemmas of representation: patient engagement in health professions education. Acad Med. 2018;93(6):869-73. https://doi.org/10.1097/ACM.0000000000001971
21. Shachak A, Alkureishi MA. Virtual care: a 'Zoombie' apocalypse? J Am Med Inform Assoc. 2020;27(11):1813-5. https://doi.org/10.1093/jamia/ocaa185
22. Gordon HS, Solanki P, Bokhour BG, Gopal RK. "I'm not feeling like I'm part of the conversation": patients' perspectives on communicating in clinical video telehealth visits. J Gen Intern Med. 2020;35:1751-8. https://doi.org/10.1007/s11606-020-05673-w
23. Mehrotra A, Bhatia RS, Snoswell CL. Paying for telemedicine after the pandemic. JAMA. 2021;325(5):431-2. https://doi.org/10.1001/jama.2020.25706
24. Canadian Medical Association. Virtual Care in Canada: Progress and Potential. Report of the Virtual Care Task Force. 2022.
25. Breton M, Deville-Stoetzel N, Gaboury I, et al. Telehealth in primary healthcare: a portrait of its rapid implementation during the COVID-19 pandemic. Healthc Policy. 2021;17(1):73. https://doi.org/10.12927/hcpol.2021.26576
26. Post SG, Ng LE, Fischel JE, et al. Routine, empathic and compassionate patient care: definitions, development, obstacles, education and beneficiaries. J Eval Clin Pract. 2014;20(6):872-80. https://doi.org/10.1111/jep.12243
27. Sinclair S, Kondejewski J, Jaggi P, et al. What works for whom in compassion training programs offered to practicing healthcare providers: a realist review. BMC Med Educ. 2021;21(1):455. https://doi.org/10.1186/s12909-021-02863-w
28. Seppälä EM, Simon-Thomas E, Brown SL, Worline MC, Cameron CD, Doty JR. The Oxford Handbook of Compassion Science. Oxford University Press; 2017. https://doi.org/10.1093/oxfordhb/9780190464684.001.0001
29. Rouleau G, Wu K, Parry M, Richard L, Desveaux L. Providing compassionate care in a virtual context: qualitative exploration of Canadian primary care nurses' experiences. Digit Health. 2024;10:20552076231224072. https://doi.org/10.1177/20552076231224072
30. Goetz JL, Keltner D, Simon-Thomas E. Compassion: an evolutionary analysis and empirical review. Psychol Bull. 2010;136(3):351. https://doi.org/10.1037/a0018807
31. Kwame A, Petrucka PM. A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nurs. 2021;20(1):158. https://doi.org/10.1186/s12912-021-00684-2
32. Ali S, Kleib M, Paul P, Petrovskaya O, Kennedy M. Compassionate nursing care and the use of digital health technologies: a scoping review. Int J Nurs Stud. 2022;127:104161. https://doi.org/10.1016/j.ijnurstu.2021.104161
33. Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005;83(3):457-502. https://doi.org/10.1111/j.1468-0009.2005.00409.x
34. Medical Council of Canada. Compassionate Virtual Care. Available from: https://mcc.ca/examinations-assessments/resources-to-help-with-exam-prep/resources-for-compassionate-virtual-care/
35. Canadian Medical Association. CMA Code of Ethics and Professionalism. 2018.
36. Hojat M, Louis DZ, Markham FW, et al. Physicians' empathy and clinical outcomes for diabetic patients. Acad Med. 2011;86(3):359-64. https://doi.org/10.1097/ACM.0b013e3182086fe1
37. Pereira L, Figueiredo-Braga M, Carvalho IP. Preoperative anxiety in ambulatory surgery: the impact of an empathic patient-centered approach on psychological and clinical outcomes. Patient Educ Couns. 2016;99(5):733-8. https://doi.org/10.1016/j.pec.2015.11.016
38. Hojat M, Vergare MJ, Maxwell K, et al. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med. 2009;84(9):1182-91. https://doi.org/10.1097/ACM.0b013e3181b17e55
39. Perrella A, Milman T, Ginsburg S, Wright S. Navigating tensions of efficiency and caring in clerkship: a qualitative study. Teach Learn Med. 2019;31(4):378-84. https://doi.org/10.1080/10401334.2018.1556667
40. Pucchio A, Rathagirishnan R, Caton N, et al. Exploration of exposure to artificial intelligence in undergraduate medical education: a Canadian cross-sectional mixed-methods study. BMC Med Educ. 2022;22(1):815. doi: 10.1186/s12909-022-03896-5
41. Kaur A, Singh S, Chandan JS, et al. Qualitative exploration of digital chatbot use in medical education: A pilot study. Digital Health. 2021;7:7. doi: 10.1177/20552076211038151
42. Li W, Shi HY, Chen XL, Lan JZ, Rehman AU, Ge MW, Shen LT, Hu FH, Jia YJ, Li XM, Chen HL. Application of artificial intelligence in medical education: A meta-ethnographic synthesis. Medical Teacher. 2025 Jul 3;47(7):1168-81.
43. Morrow E, Zidaru T, Ross F, et al. Artificial intelligence technologies and compassion in healthcare: a systematic scoping review. Front Psychol. 2023;13:971044. https://doi.org/10.3389/fpsyg.2022.971044
44. Patel S, Pelletier-Bui A, Smith S, et al. Curricula for empathy and compassion training in medical education: a systematic review. PLoS One. 2019;14(8):e0221412. https://doi.org/10.1371/journal.pone.0221412
45. Mehta KK, Salam S, Hake A, et al. Cultivating compassion in medicine: a toolkit for medical students to improve self-kindness and enhance clinical care. BMC Med Educ. 2024;24(1):291. https://doi.org/10.1186/s12909-024-05270-z
46. Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19-32. https://doi.org/10.1080/1364557032000119616
47. Levac D, Colquhoun H, O'Brien KK. Scoping studies: advancing the methodology. Implement Sci. 2010;5:1-9. https://doi.org/10.1186/1748-5908-5-69
48. Sirianni G, Elma A, Jeyabalan V, et al. Compassionate primary care training and practice in the digital technology sphere: A scoping review2025. https://doi.org/10.17605/OSF.IO/V7TSF.
49. Pollock D, Peters MD, Khalil H, et al. Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evid Synth. 2023;21(3):520-32. https://doi.org/10.11124/JBIES-22-00123
50. Veritas Health Innovation. Covidence Systematic Review Software. 2016. Available from: https://www.covidence.org
51. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107-15. https://doi.org/10.1111/j.1365-2648.2007.04569.x
52. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73. https://doi.org/10.7326/M18-0850
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