Knowledge, Attitudes and Practice Pattern of Islamic Nursing Ethics among Nurses in Pahang, Malaysia

An international study showed nurses were indeed experienced in various ethical issues. Major theories central to nursing ethics, which are deontology and utilitarian perspective, highlight the importance of human reasoning alone, and the efficiency can still be argued. As Muslim nurse, equipping themselves with the Islamic manner of spirit is crucial. The problem is the extent of applying Islamic ethics in nursing practice that is still in doubt. This study aims to assess the knowledge, attitudes and practices of Islamic nursing ethics among nurses in Pahang, Malaysia. A self-administered questionnaire about knowledge of Islamic nursing ethics was developed, validated, tested, and distributed to nurses at Tengku Ampuan Afzan Hospital and Sultan Haji Ahmad Shah Hospital in Pahang (a tertiary care hospital) between February and March 2017. A total of 118 nurses had complete data in the study. The frequency of encountering ethical problems among nurses varied from ‘daily’ to ‘yearly’. Only 24.6% of nurses responded that they had experienced ethical issues in their work. 43.2% of nurses responded that they know ‘moderately’ about the moral principle of Islam pertaining to their work. More than half (69.5%) of the nurses scored at the moderate levels, and 17.8% had competent levels of practice regarding Islamic ethics. Only 20.3% of the respondents’ opinion is in line with Islamic ethics for the problem of adherence to the patients’ wishes. This study recognizes the need to evaluate the training curricula and modes of teaching Islamic ethics among nurses to further the Islamic ethics knowledge among nurses in a clinical setting

Towards Maqasid al-Shari'ah based nursing ethics

Nursing ethics denotes the moral philosophy in nursing practices or a system of principles governing the conduct of nurses that are distinguished between morally good and evil or right and wrong. This system of principles adopted much from conventional moral theories in nursing practices to help nurses figure out what actions are right and wrong. Islam plays a crucial role in providing guidelines on the permissibility and acceptability of nursing practices, especially for Muslim nurses. This study conducts qualitative approaches based on library research. This article discusses the concept of nursing ethics and how it differs from Maqasid al-Shari'ah concerning decision-making processes. Both promote the benefit and prevent harm, but Maqasid al-Shari'ah is more comprehensive in guiding nurses in nursing practices. Then, several applications are presented as examples of how Maqasid al-Shari'ah can be used as a binding principle in nursing ethics

Post-Divorce Child’s Nafaqah Māḍiyah: An Analysis of the Shifting from Fulfilment to the Assertion of Ownership Rights

The claim for child’s nafaqah māḍiyah (past income) is often overlooked in the rulings of the Religious Court. This research aims to propose a shifting from the concept of li al-intifā’ (benefit) to li al-tamlīk (ownership) regarding child’s living costs claims in the Religious Court, employing the istihsān (juristic preference) approach. The objective is to ensure a more equitable judgment for the child. This study was conducted as a literature review using a normative juridical approach. The research findings reveal that the legal standpoint, which rejects any claim for child’s nafaqah māḍiyah in the Religious Court based on the argument that child’s living costs is categorized as li al-intifā’, contradicts Islamic legal principles regarding child’s living costs and fails to fulfill the principles of justice, as well as being incongruent with several other legislative provisions related to child protection. Therefore, this article proposes a shifting from the concept of li al-intifā’ to li al-tamlīk in determining child’s nafaqah māḍiyah in the Religious Court

The Association between Physical Activity Status and Mental Wellbeing among Overweight and Obese Female Students

Physical activity (PA) is important in fighting obesity, and it may also improve one’s mental wellbeing. Nonetheless, the association between PA and mental wellbeing among female university students with elevated body mass index (BMI) is still fragmented. Hence, this study aims to determine the association between PA status and mental wellbeing among overweight and obese female students in a university located in the East region of Malaysia. A cross-sectional study was conducted among 102 overweight and obese female students. An online survey of the International Physical Activity Questionnaire (IPAQ) and The Warwick-Edinburgh Mental Wellbeing Acreda Scale (WEMWBS-ACREDA) was distributed using convenience sampling and analysed. The results show that 43.2% of the participants have a high and 18.6% have a low PA level. Meanwhile, the finding revealed that the majority of the participants have a moderate state of mental wellbeing (59.8%). Additionally, a significant moderate positive association between PA status and mental wellbeing among the overweight and obese female students was identified (r=0.341, p<0.01). This study proposed that PA may influence the mental wellbeing of female university students with elevated BMI. Therefore, incorporating more physical related activities in their learning objectives may promote a better quality of life during their campus life

The association between physical activity status and mental wellbeing among overweight and obese female university students

Introduction: Physical activity (PA) is essential in fighting obesity, and it may also improve one’s mental wellbeing. Nonetheless, the association between PA and mental wellbeing among female university students with non-ideal body mass index (BMI) is still fragmented. Hence, this study aims to determine the association between PA status and mental wellbeing among overweight and obese female students in a university in Malaysia’s East region. Method: A cross-sectional study was conducted among 102 overweight and obese female students. An online survey of the International Physical Activity Questionnaire (IPAQ) and The Warwick-Edinburgh Mental Wellbeing Acreda Scale (WEMWBS-ACREDA) was distributed using convenience sampling and analyzed. Results: The results show that 43.2% of the participants have a high and 18.6% have a low PA level. Meanwhile, the finding revealed that the majority of the participants have a moderate state of mental wellbeing (59.8%). Additionally, physical activity levels were found to be a significant predictor of mental wellbeing in overweight and obese female university students (ᵝ = 0.341, p 0.001). Conclusion: This study proposed that PA may influence the mental wellbeing of female university students with non-ideal BMI. Therefore, incorporating more physical-related activities into their learning objectives may promote a better quality of life during their campus life

The association between spiritual wellbeing and dietary intake among obese female university student: A cross-sectional study

Introduction: Obesity has become a public health threat worldwide and processing a high burden to the healthcare system. This study aimed to determine the association between spiritual wellbeing and dietary intake among overweight and obese female students in a university in Peninsular Malaysia. Methods: This is a cross-sectional study involving 100 female students from a public university in the East Coast Region of Peninsular Malaysia. The participants are selected based on inclusion and exclusion criteria. Spiritual wellbeing is measured using an adapted and validated spirituality questionnaire, while the dietary intake was calculated using a 24-hour dietary intake questionnaire. Data were analysed using SPSS version 23 and Nutritionist Pro. Pearson correlation is applied to measure the association between spiritual wellbeing and dietary intake. Results: Spiritual wellbeing was negatively correlated with dietary intake (r= -0.026, p=0.797). The results showed no significant association between spiritual wellbeing and dietary intake (p>0.05). Conclusion: To conclude, there is no significant association between spiritual wellbeing and dietary intake among overweight and obese female students. Future research could add other variables such as the micronutrients and macronutrients into the study can help to get a more significant result. Besides, a large-scale study is also warranted to observe the association between spiritual wellbeing and dietary intake among overweight and obese female university students in Malaysia

Islamic moral judgement on abortion and its nursing applications: expository analysis

Health workers, like nurses are tasked to save the lives of their patients, however, there are instances in which health workers have to deal with difficult cases in taking a life, such as abortion. Scholars in the field of healthcare assert that abortion is morally justified if it is sought for health reasons. Nevertheless, there are a number of cases in which abortion is sought on other grounds other than health, such as the individual choice to do so. Can a nurse refuse to provide their professional service towards these people? This paper uses analytical and comparative methods to address ethical issues in abortion from the Islamic and conventional perspectives. Nursing implication: Since the nurses instruct and assist people in forming a decision as they engage in nursing care, utilising a comprehensive view of abortion based on Islamic sources would provide a foundation in Muslim perspectives as they interact with Muslim patients. The subject area to investigate the degree of knowledge among nurses regarding the Islamic moral judgement on this event is extremely recommended for future management

Islamic moral judgement on resuscitation issue: nursing perspective

The primary goals of resuscitation are to preserve life, restore health, relieve suffering and limit disability. As nurses, executing the cardiopulmonary resuscitation (CPR) to a patient experiencing cardio-pulmonary arrest is essential in preserving life. However nurses face a dilemma in the decision making to either preserve the patient’s life or let the patient die naturally, if the patient’s autonomy as well as his family’s wish for a “do not resuscitate (DNR)” order. In this dilemma, the sanctity of life and the right to die is the main concern of this discussion. Islamic moral judgment, as the major concern here, should be studied as an alternative to analyse and provide a guideline that is in accordance with the Islamic teaching. Thus, this research is to provide the Islamic moral judgment on the resuscitation issue and its implication in nursing practices. The western ethics that represent the current practices on resuscitation is not included. The comparison was then made with the ultimate origin of Islamic teaching ie the Qur’an and Sunnah, as well as the notions of Muslim scholars on the subject. As the physician opines that CPR is to be beneficial to rescue a life, therefore refusing it may be considered as immoral. However, the DNR order is entirely acceptable if the doctor believes that CPR is futile and gives no benefit to the patient. The doctor has the authority to issue a DNR order if he is certain that the patient would not benefit from CPR without getting consent from the patient or his relative. Nursing implications: As nurses facilitate patients and family members in forming a decision about end of life hence engaging a comprehensive view of DNR based on Islamic teaching would provide an informed choice when advising a Muslim patient and family. The area to investigate would be on the degree of knowledge among nurses regarding the Islamic moral judgement on this matter is highly recommended for future management

Knowledge, attitude, and practice of Rukhsah in prayer among undergraduate students at International Islamic University Malaysia Kuantan campus

Islam is a religion that is based on five pillars which prayer is one of them. Prayer is compulsory for all Muslims, even during sickness. To ease the followers, Islam introduces rukhsah to give flexibility to sick people to perform prayer based on their ability. Objectives: This study aimed to determine the level of knowledge, attitude, and practice regarding rukhsah in prayer. This study also examined the association between level of knowledge and attitude towards the practice of rukhsah in prayer among undergraduate students at the International Islamic University Malaysia (IIUM), Kuantan. Methodology: A cross-sectional study was conducted among 129 undergraduate students at IIUM, Kuantan. Stratified random sampling was used to select the respondents among undergraduate students to answers the questionnaire. The obtained data were then entered and coded into IBM SPSS version 24.0 for analysis. Result: The findings showed that most of the respondents had high scores for each construct; knowledge (98.4%, n = 127), attitude (99.2%, n = 128) and practice (89.9%, n = 116), regarding rukhsah in prayer. Also, a significant positive association between level of knowledge and attitude towards the practice of rukhsah in prayer was identified (p < 0.005). Conclusion: The course and program related to disseminating rukhsah's knowledge should be continued to ensure that the students are well versed with its theory and practices. As a potential frontline who will be assisting the patient in the future, knowledge regarding rukhsah is imperative to fulfil the patients' needs

Finite element analysis of impact energy on spur gear

In high-speed gear drive and power transmission, system impact failure mode always occurs due to the sudden impact and shock loading during the system in running. Therefore, study on the amount of impact energy that can be absorbed by a gear is vital. Impact test equipment has been designed and modelled for the purpose to study the impact energy on gear tooth. This paper mainly focused on Finite Element Analysis (FEA) of impact energy that occurred during simulation involving the impact test equipment modelling. The simulation was conducted using Abaqus software on critical parts of the test equipment to simulate the impact event and generate impact data for analysis. The load cell in the model was assumed to be free fall at a certain height which gives impact load to the test gear. Three different type of material for the test gear were set up in this simulation. Results from the simulation show that each material possesses different impact energy characteristic. Impact energy values increased along with the height of load drop. AISI 1040 were found to be the toughest material at 3.0m drop that could withstand up to 44.87N.m of impact energy. These data will be used to validate data in physical experiments in further study