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– The purpose of this paper is to explore the experiences of East African Muslim families who have a family member diagnosed with schizophrenia in the UK mental health system.
Abstract
Purpose
The purpose of this paper is to explore the experiences of East African Muslim families who have a family member diagnosed with schizophrenia in the UK mental health system.
Design/methodology/approach
In-depth semi-structured interviews with East African Muslim participants who had a close family member diagnosed with schizophrenia.
Findings
Thematic analysis of the interviews revealed participants’ concerns over diagnosis, over the side effects of medication and over the lack of choice of treatment. They reported disappointment and frustration with the rejection by psychiatric services of alternative conceptualizations of mental distress incorporating religious beliefs. Participants called for more culturally sensitive service provision open to taking into account non-western conceptualizations of mental distress and its treatment.
Research limitations/implications
Caution should be exercised in drawing firm conclusions from a pilot study with only four participants although generalization is not an aim of small-scale qualitative research.
Practical implications
The overall negative perceptions of psychiatric services in the participants’ accounts point to poor communication between services and service users and their families. If there are attempts at culturally sensitive service provision, according to this study, they are implemented elsewhere/not extensive enough/not reaching everyone – which warrants further investigation.
Originality/value
This study is valuable because it offers insights on how East African Muslim families living in the UK (an under-researched minority) experience the impact of living with a diagnosis of schizophrenia and contact with mental health services, within the context of a “Western” model of mental distress dramatically different from and rarely open to the conceptualization shared in their culture of origin.
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Research on mental illness stigma in the Arab world has traditionally focused on socio-cultural barriers that deprive persons with mental illness from their fundamental human…
Abstract
Purpose
Research on mental illness stigma in the Arab world has traditionally focused on socio-cultural barriers that deprive persons with mental illness from their fundamental human right for privacy and informed consent. The purpose of this paper is to address the question whether or not mental health legislations in a number of Arab countries effectively safeguard the human rights of people with mental illness and protect them from stigmatizing and discriminatory practices.
Design/methodology/approach
A qualitative review of literature was performed over two rounds of search, targeting published research on mental illness stigma in the Arab world from year 2000 until now and existing national mental health legislations in the Arab world, using English and Arabic databases.
Findings
The review reveals that beyond society and culture, persistence of mental illness stigma in the Arab world may be explained by absent or inefficient monitoring mechanisms of mental health legislations and policies within the health-care setting. Although integration of mental health services into the primary health care system is being gradually implemented as a step toward de-stigmatization of mental illness, more remains to be done to change the stigmatizing behavior of the health personnel toward mental illness.
Originality/value
Mental health authorities in the Arab world need to be more aware of the public perceptions explaining people’s fear and reluctance to seek mental health care, so as to ensure that the control and monitoring mechanisms at both the primary and mental health care levels foster a human rights, culturally competent, patient-friendly and non-stigmatizing model of mental health care.
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Nada Alattar, Anne Felton and Theodore Stickley
Stigma associated with mental health problems is widespread in the Kingdom of Saudi Arabia (KSA). Consequently, this may prevent many Saudi people from accessing the mental health…
Abstract
Purpose
Stigma associated with mental health problems is widespread in the Kingdom of Saudi Arabia (KSA). Consequently, this may prevent many Saudi people from accessing the mental health-care services and support they need. The purpose of this study is to consider how stigma affects people needing to access mental health services in the KSA. To achieve this aim, this study reviews the knowledge base concerning stigma and mental health in KSA and considers specific further research necessary to increase the knowledge and understanding in this important area.
Design/methodology/approach
This review examines the relevant literature concerning mental health stigma and related issues in KSA using the Arksey and O'Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses frameworks. As a scoping review, it has used a systematic approach in literature searching. The results of the search were then thematically analysed and the themes were then discussed in light of the concepts of stigma and mental health.
Findings
Stigma around mental health impedes access to care, the nature of care and current clinical practice in the KSA. The voices of those with mental health issues in KSA are almost entirely unrepresented in the literature.
Originality/value
The review identifies that mental health stigma and cultural beliefs about mental health in KSA may act as barriers to accessing services. The voice of mental health service users in KSA remains largely unheard. If public discussion of mental health issues can increase, people’s experiences of accessing services may be improved.
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Lauren T. Meaux, Stephanie C. Doran and Jennifer M. Cox
Unconscious biases against certain groups aid in forming assumptions which may be promulgated in the USA via popular news media linking rare but memorable violent acts with…
Abstract
Purpose
Unconscious biases against certain groups aid in forming assumptions which may be promulgated in the USA via popular news media linking rare but memorable violent acts with specific groups. However, the relationship between marginalized group association, assumptions regarding the motive for violent acts and individual media consumption has never been directly examined. This study aims to directly examine this relationship.
Design/methodology/approach
In the present study, individuals read a vignette of a mass shooting in which the perpetrator’s implied religion (i.e. Islam or unknown religion) was manipulated. Participants then indicated their assumptions regarding motive (i.e. terrorism or mental illness) and personal media consumption habits.
Findings
Contrary to hypotheses, differences in assumed motive based on implied religion were not found; participants were not more likely to associate an assumed Muslim perpetrator with terrorism as a motive or consider the assumed non-Muslim perpetrator to be mentally ill.
Originality/value
These unexpected findings are discussed in the context of the data-collection period, which coincidentally overlapped with a well-publicized act of domestic terrorism that led to a unique national debate regarding biased news coverage and associations between religion, ethnicity, terrorism and mental illness.
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Shahidul Islam, Nazlida Muhamad and Vai Shiem Leong
Transformative service research (TSR) has received considerable attention from researchers and marketers in recent years and becomes a research priority in health care. In…
Abstract
Purpose
Transformative service research (TSR) has received considerable attention from researchers and marketers in recent years and becomes a research priority in health care. In response, this paper adapts the TSR entities and wellbeing framework to systematically review healthcare quality research on Muslim consumers. The purpose of this paper is to identify research gaps and provide directions for future research, aligning healthcare studies with the TSR framework.
Design/methodology/approach
The authors of this paper reviewed empirical papers in healthcare quality research on Muslim patients between the years 2000 and 2020. The recorded journal articles were synthesized using insights from the TSR framework. Several literature gaps were identified and future research directions were provided using the TCCM framework, in which T stands for theory, C for context, C for characteristics and M for methodology.
Findings
This paper finds studies that encompass several domains of the TSR framework including cultural and religious dimensions, service interaction and customer engagement dimensions and customer service wellbeing. Findings also reveal subject matters related to the TSR framework, which receive less attention in the healthcare literature. A number of potential avenues for theoretical extension in health care are also discussed.
Social implications
The implications of this paper are highly relevant to Muslim healthcare consumers, the healthcare system and society in general. The findings suggest inspiring changes in the healthcare ecosystem that yields a greater quality of life (health and wellbeing) for individuals and their respective communities.
Originality/value
This paper advances the current state of healthcare research by identifying and organizing components of TSR entities and wellbeing framework, using Muslim patients as the context. It enhances some pioneering approaches within the domain of TSR and quality dynamics and provides a holistic perspective as guidance and systematic thinking to further advancement in the field of services marketing and Islamic marketing.
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Muhammad Khalilur Rahman, Suhaiza Zailani and Ghazali Musa
This study aims to investigate the perceived role of the Islamic medical care practice of Muslim doctors in Malaysian Muslim-friendly private hospitals.
Abstract
Purpose
This study aims to investigate the perceived role of the Islamic medical care practice of Muslim doctors in Malaysian Muslim-friendly private hospitals.
Design/methodology/approach
Data were collection through self-administered questionnaires voluntarily submitted by the respondents. The survey covered selected major Muslim-friendly private hospitals in the country in the states of Kedah, Johor, Penang, Selangor, Kelantan and Kuala Lumpur. The non-probability purposive sampling was used, as the respondents and locations of the survey areas were predetermined.
Findings
Five dimensions of the Muslim-friendly medical care practice were identified, namely, medical etiquettes, physical examination, proper cleansing process of blood and body fluids, proper handling and treatment of infectious diseases and doctors’ advice to Muslim patients. The findings also indicate that the scale development analysis produced excellent results which can be used for reproducible or repetitive medical care purposes and for integration facts and figures for inclusion into wider medical care policy and practices.
Practical implications
The results from the study can further develop Islamic medical care practices and enable medical service providers to upgrade their performances to an enviable strategic status.
Originality/value
Islamic medical care is a new mode of healthcare service market, as there are very few studies on this topic from the perspective of Muslim patients or no obvious facts are known. This study has first explored Muslim doctors’ perceived role in Islamic medical care practice in Malaysian Muslim-friendly private hospitals. This empirical study can immensely contribute to the further development of Islamic medical care practice for Muslim doctors in particular and for the Muslim-friendly hospital service marketing strategy in general.
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Mastura Ab. Wahab, Tajul Ariffin Masron and Noorliza Karia
This paper aims to examine the effects of taqwa (God-consciousness) and syukr (gratitude to God) on emotional intelligence (EI) in a Muslim population in Malaysia.
Abstract
Purpose
This paper aims to examine the effects of taqwa (God-consciousness) and syukr (gratitude to God) on emotional intelligence (EI) in a Muslim population in Malaysia.
Design/methodology/approach
Structural equation modelling tool AMOS was used to test the study’s hypotheses. In total, data were sourced from 302 Muslim employees working in Malaysia's public and private sectors.
Findings
Taqwa and syukr positively influence EI, and people with taqwa and syukr demonstrate greater levels of self-emotional appraisal compared with other emotional appraisals. This study also shows that people with taqwa and syukr give increased priority to understanding and distinguishing positive and negative emotions because of their understanding of Islamic teachings. They also exhibit concern with knowing their emotions well before advising or responding to the emotions of others. This may increase their sense of empathy, thereby improving their emotional competency and EI.
Originality/value
The findings indicate that taqwa and syukr predispose Muslims to EI. This study applied the Qur’anic model of self-development, which connects the origin of emotion with the soul, thereby further enriching the literature on the subject. It also highlights the importance of taqwa and syukr to Muslim employees for achieving EI that is useful in creating a harmonious atmosphere in the workplace and prosperous relationships in society.
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Terrie C. Reeves, Arlise P. McKinney and Laila Azam
The purpose of this paper is to examine Muslim women’s decisions to wear headscarves, known as hijab, in the workplace. The decision to wear hijab may result in a stigmatized…
Abstract
Purpose
The purpose of this paper is to examine Muslim women’s decisions to wear headscarves, known as hijab, in the workplace. The decision to wear hijab may result in a stigmatized identity, so the paper also aims to examine perceived or experienced discrimination and impact on employment outcomes.
Design/methodology/approach
Using qualitative methodology to capture nuances, the study was based on demographic responses and semi‐structured interview questions by 79 Muslim women physicians and other healthcare professionals.
Findings
The paper finds that many factors influenced their decisions, but Muslim women had a wide variety of views in terms of the hijab and adherence to Islamic precepts. Those who wear hijab reported negative experiences of intolerance and discrimination. The decision to wear hijab was subsequently associated with perceived discrimination that would limit one’s employment opportunities.
Practical implications
Religion is one diversity categorization that can be invisible yet still has a significant impact on workers and their engagement in the workplace. Organizations engaged in strategic diversity initiatives may need to better understand specific nuances of diversity concerning religious expression and the potential psychological toll hiding those expressions may have on workers. The paper's findings have implications for personnel selection, training, and managing interpersonal relationships in the workplace.
Originality/value
Religious expression is an under‐studied workplace diversity facet, especially when disclosing religion is a choice that may result in being stigmatized. There has been research on workplace treatment of Muslims and the influences of spirituality, but no research that examined the decision to wear hijab and the associated workplace consequences.
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Mohd Usman, Enu Anand, Saddaf Naaz Akhtar, Srikanth Reddy Umenthala, Tarique Anwar and Sayeed Unisa
Alcohol and tobacco consumption are significant public health concerns and considered some of the riskiest behaviors among students. Despite strong indications of heavy…
Abstract
Purpose
Alcohol and tobacco consumption are significant public health concerns and considered some of the riskiest behaviors among students. Despite strong indications of heavy consumption of these substances, certain sections of the student population remain unexplored regarding their consumption patterns and associated factors, including research scholars pursuing Doctor of Philosophy degrees. This study aims to explore the patterns and correlations of consumption of alcohol and tobacco among doctoral students in three Indian universities.
Design/methodology/approach
A cross-sectional study was conducted on a total of 530 scholars from three central universities, Aligarh Muslim University, Banaras Hindu University and Jawahar Lal Nehru University, and focused on two substances (alcohol and tobacco) frequently used by students in India. Bi-variate analysis and penalized logistic regressions were applied to analyse the prevalence and associated factors of alcohol, smoking and smokeless tobacco among doctoral students.
Findings
Tobacco consumption was observed to be the dominant form of substance use among doctoral students. Findings revealed that 34% of scholars smoked and 25% consumed smokeless tobacco daily and around 14% consumed alcohol at least once a week. Major significant correlates of substance consumption among scholars were found to be gender, religion, parental mortality, dissatisfaction with academic performance and stress about future career/employment. Significant variation in substance use patterns was observed among universities.
Originality/value
This study provides first-hand evidence on substance use patterns and the correlates among doctoral students in three Indian universities. Findings indicate the implementation of specific intervention programs for mental health and counselling for this section of students to prevent substance use addiction would be beneficial.
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Seham Mansour Alyousef and Sami Abdulrahman Alhamidi
The purpose of this paper is to explore the factors that contribute to stigmas held by mental health practitioners about people with mental health issues.
Abstract
Purpose
The purpose of this paper is to explore the factors that contribute to stigmas held by mental health practitioners about people with mental health issues.
Design/methodology/approach
A qualitative approach using semi-structured interviews was adopted to collect data from one focus group discussion comprised of six healthcare practitioners representing different aspects of health provision. Data were analysed using Nvivi.10 thematic content analysis, and major themes were identified. Participants also complete a demographic data sheet. This study was conducted in February 2018 at the medical city in Riyadh, Saudi Arabia.
Findings
The focus group discussed the stigmas they held about people with mental health issues and the factors they perceived as heightening their prejudices. Factors identified included professional experiences, the media and community. Practitioners working in mental healthcare are vulnerable to developing stigmas about people with mental health problems. This research has begun to explore the factors that contribute to this phenomenon.
Research limitations/implications
The participants were drawn from several different mental healthcare providers, so attitudes expressed cannot be generalised.
Practical implications
Practitioners healthcare providers of all types including clinical practitioners, administrators and programme planners have a duty to confront the stigma of mental health among the community and healthcare providers, by expanding the volume of academic literature being authored, improving continuing professional education and enhancing employment opportunities in that sector.
Originality/value
The outcomes of this study were mainly applicable to the professional mental health team, educator of healthcare practitioners, clinical practitioners, community mental healthcare services and research related to this topic, especially for improved ethical and professional values for healthcare providers and enlightenment of society as a whole.
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