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Can mental healthcare for Muslim patients be person-centred without consideration of religious identity? A concurrent analysis
Institution:1. Community Addictions Staff Nurse, NHS Borders, Scotland, UK;2. School of Health and Social Care, Edinburgh Napier University, Scotland, UK;1. Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China;2. Xiangya School of Nursing, Central South University, Changsha, Hunan, China;3. Clinical Nursing Safety Management Research Center of Central South University, Changsha, Hunan, China;4. The Hong Kong Polytechnic University, Department of Rehabilitation Sciences, Hong Kong, China;1. School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, ACT, Australia;2. Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, University of Canberra, Bruce, ACT, Australia;3. Canberra Health Services & ACT Health, SYNERGY Nursing & Midwifery Research Centre, ACT Health Directorate, Canberra Hospital, Level 3, Building 6, Australia;4. Robert Gordon University, Aberdeen, Scotland, UK;5. School of Nursing, Queensland University of Technology, Brisbane, Australia;6. Cancer and Palliative Care Outcomes Centre, Queensland University of Technology, Brisbane, Australia;7. Princess Alexandra Hospital, Brisbane, Australia;1. Department of Nursing, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd, Beitou District, Taipei City 11217, Taiwan, ROC;2. Department of Nursing, Tzu Chi University of Science and Technology, No. 880, Sec. 2, Jianguo Rd., Hualien 970, Taiwan, ROC;3. Department of Allied Health Education and Digital Learning, National Taipei University of Nursing and Health Sciences, No. 365, Mingde Rd, Beitou District, Taipei City 11219, Taiwan, ROC;4. School of Nursing, Cedarville University, 251 N. Main St., Cedarville, OH 45314, USA;1. Department of Medicine, School of Medicine, Nazarbayev University, Kerey and Zhanibek Khans St 5/1, Nur-Sultan 010000, Kazakhstan;2. Department of Nursing, College of Applied Medical Sciences, Shaqra University, Dawadmi, Saudi Arabia;3. College of Nursing, Jouf University, Sakakah, Saudi Arabia;4. Department of Maternal and Child Health Nursing, College of Nursing, Qassim University, Buraidah, Saudi Arabia;5. Department of Psychiatric and Mental Health and Community Health Nursing, College of Nursing, Qassim University, Buraidah, Saudi Arabia;6. School of Advanced Studies, Saint Louis University, Baguio, Philippines
Abstract:BackgroundMuslims constitute the largest, fastest growing religious minority in the UK. Globally, nurses are legally, morally and ethically obliged to provide non-discriminatory, person-centred, culturally sensitive care. This obligation includes supporting people with their religious needs where appropriate, but there is evidence this is not always happening, particularly for Muslims in mental health care.AimsThis paper reviewed primary research to address the question: Can mental healthcare for Muslims be person-centred without consideration of religious identity?MethodsNarrative synthesis and concurrent analysis. Searches were conducted post 2000 in MEDLINE, CINAHL, SAGE, PsychINFO and ASA with terms: ‘Muslim’, ‘Islam* ’, ‘mental health’, ‘nurs* ’, ‘person-cent* ’, ‘religio* ’. Narrative data were analysed for commonalities and themes.FindingsSeven studies of sufficient quality were analysed. Unconscious religious bias was the overarching theme linking the findings that healthcare staff felt ill-prepared and lacked necessary knowledge and experience to work with diverse patient groups. Unconscious racial bias contributed to limited cultural/ religious competence in treatment and care.ConclusionReligious identity is core for Muslim patients, so this group may not be receiving the person-centred care they deserve. Nurses need cultural and religious competence to deliver person-centred, holistic care to diverse patient populations, yet the importance of religious practice can be overlooked by staff, with harmful consequences for patient’s mental and spiritual welfare. This paper introduces a welcome pack that could help staff support the religious observance of those Muslim patients/service-users wishing to practice their faith during their stay in health services.
Keywords:Muslim  Mental health  Nurse  Unconscious bias  Religion  Race  BAME  Spirituality  Person centred care
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