Shariah Compliant and Ibadah Friendly Hospital
(Adapted from Journal of the British Islamic Medical Association - Vol. 7 - May 2021)
What is involved in establishing a Shariah Compliant and Ibadah Friendly Hospital? Is it important for us to know what it is all about? Do we need to establish this program in our hospitals?
It may not sound important to many of us, especially if we think we are successful in our career. The majority of Muslim Doctors do not pay much attention to this issue of Islamisation of their medical practice and hospital/clinic.
Points to ponder:
1. How many of our Muslim patients perform their salat while they are under our care?
2. Who is responsible for helping Muslim patients perform their salat in our hospitals?
3. Do our hospital staff guide the patients regarding how to modify Ghusl, Wudhu, Salah, Fasting, etc., due to their illness according to Fiqh?
4. Have we ever discussed Islam or spirituality with our patients?
5. Have we or our staff ever assisted terminally ill patients under our care in the final seconds of their life to die with Husn al Khatima by reciting the Shahada?
6. Do we follow Gender and Satr / Haya rules in our hospitals?
7. Do we follow the Shariah limits and guidelines in doing the various procedures like IVF, Abortion, Plastic Surgery, etc.?
To answer the first question, it is known that most of the patients in the hospitals do not perform their salat. Can we imagine if it happened to ourselves or to our families?
Below are some of the reasons why they do not perform their prayers:
1. Patients assume they can replace their prayers later(qadha)
2. They assume they are being excused from praying because of their illness and being in the hospital
3. Patients are ignorant about the Fiqh issues
4. No assistance and guidance from medical staff
5. Hospital management do not provide support and facilitate patients to perform their ibadah
6. The assumption that the Muslim patients should understand and know their responsibility.
Have we ever thought about who is going to help us to say Shahadah or remind us to remember Allah at the end of our life? How would we feel if our relatives died after resuscitation without being assisted to say the Shahadah? Are those duties expected from the Muslim staff? Are we aware that the ultimate goal of a Muslim is to die with Husn al Khatimah?
Standards In Shariah Compliant and Ibadah Friendly Hospital (IFH):
The following discussion will focus on the proposed Standards In IFH. These standards should be taken into consideration when planning the implementation of this program.
1. HOSPITAL POLICY OF IMPLEMENTING IFH:
Adopting the IFH as a hospital policy
Integration and assimilation of good values in hospital administration
Vision and Mission of Hospital taking into consideration the IFH program toward excellent hospital services
Stakeholders should ensure that the IFH becomes an integral part of the hospital policy.
2. ORGANISATION STRUCTURE:
Establishment of an IFH Committee with specific job scope and organizational chart that reflects this aspiration.
Direct involvement of the Hospital Director and senior members of the management in the IFH Committee
Establishment of Spiritual Department or Shariah Department in ensuring the successful implementation of IFH programs
Regular meeting and report by the committee (at least 4x/year)
3. CULTURE IN IFH:
GENERAL CULTURE
-good values – (Itqan/Ikhlas/Ihsan)
SPECIFIC CULTURES
-Culture of smiling &salam
Reciting Bismillah/Alhamdulillah/Insha’Allah at appropriate time pre/during or post procedure
Remembering God
Campaign/poster/banner promoting these cultures and awareness of IFH
Continuous monitoring of the staff practices and assimilation of these practices
4. HUMAN RESOURCE MANAGEMENT:
Basic training – awareness about IFH
Introduction programs and basic trainings for all staff on IFH
Preparation of manual for basic training in IFH
REGULAR ongoing program – sustainability and monitoring
5. FACILITIES FOR IFH:
Orientation for patients about salat facilities and providing assistance to those needed
Salat reminder/assisting patients to perform salat
Audio visual facilities in reminding patients/staff on prayer
Facilities to perform salat (Qibla direction/proper attire/clean area)
Bottle spray/Tayammum powder/Books/Guidelines for prayer/wudhu/Tayammum)
Patients attire – covering Awrah in ward/during delivery/ procedure & surgery
Separate wards/rooms for different gender
6. SOPS IN IFH:
General SOPs – assimilation of good values at all levels-good character (akhlaq)
SOPs in all clinical settings – orientation for new admission
Pre & post procedures
Chaperone
Guiding and helping patients to perform ibadah
7. DIGNITY OF PATIENTS AND STAFF:
ECG, USG and other procedures by same gender
Catheter performed by same gender
Ensuring awrah/Satr of patients in OT/delivery rooms are being taken care of following shariah guidelines
8. HUSNUL KHATIMAH:
Establishing chaplaincy services – (talqin services/spiritual support for patients and relatives)
Assisting family in preparing WASIAT/Family support
Talqin – encouraging family to talqin patients/ensuring staff available to support patient during terminal stage
Assisting family for the funeral arrangement
9. QUALITY MANAGEMENT:
Quality Committee in monitoring the implementation of IFH
Internal and external audit
Patient’s feedback regarding the IFH programs in the hospital
Scheduled monitoring of the programs
These are some of the suggested elements which could become the essentials in the implementation of IFH.There are many additional programs which need to be implemented in IFH. All departments and sections need to prepare SOPs and programs related to the IFH.
What is involved in establishing a Shariah Compliant and Ibadah Friendly Hospital? Is it important for us to know what it is all about? Do we need to establish this program in our hospitals?
It may not sound important to many of us, especially if we think we are successful in our career. The majority of Muslim Doctors do not pay much attention to this issue of Islamisation of their medical practice and hospital/clinic.
Points to ponder:
1. How many of our Muslim patients perform their salat while they are under our care?
2. Who is responsible for helping Muslim patients perform their salat in our hospitals?
3. Do our hospital staff guide the patients regarding how to modify Ghusl, Wudhu, Salah, Fasting, etc., due to their illness according to Fiqh?
4. Have we ever discussed Islam or spirituality with our patients?
5. Have we or our staff ever assisted terminally ill patients under our care in the final seconds of their life to die with Husn al Khatima by reciting the Shahada?
6. Do we follow Gender and Satr / Haya rules in our hospitals?
7. Do we follow the Shariah limits and guidelines in doing the various procedures like IVF, Abortion, Plastic Surgery, etc.?
To answer the first question, it is known that most of the patients in the hospitals do not perform their salat. Can we imagine if it happened to ourselves or to our families?
Below are some of the reasons why they do not perform their prayers:
1. Patients assume they can replace their prayers later(qadha)
2. They assume they are being excused from praying because of their illness and being in the hospital
3. Patients are ignorant about the Fiqh issues
4. No assistance and guidance from medical staff
5. Hospital management do not provide support and facilitate patients to perform their ibadah
6. The assumption that the Muslim patients should understand and know their responsibility.
Have we ever thought about who is going to help us to say Shahadah or remind us to remember Allah at the end of our life? How would we feel if our relatives died after resuscitation without being assisted to say the Shahadah? Are those duties expected from the Muslim staff? Are we aware that the ultimate goal of a Muslim is to die with Husn al Khatimah?
Standards In Shariah Compliant and Ibadah Friendly Hospital (IFH):
The following discussion will focus on the proposed Standards In IFH. These standards should be taken into consideration when planning the implementation of this program.
1. HOSPITAL POLICY OF IMPLEMENTING IFH:
Adopting the IFH as a hospital policy
Integration and assimilation of good values in hospital administration
Vision and Mission of Hospital taking into consideration the IFH program toward excellent hospital services
Stakeholders should ensure that the IFH becomes an integral part of the hospital policy.
2. ORGANISATION STRUCTURE:
Establishment of an IFH Committee with specific job scope and organizational chart that reflects this aspiration.
Direct involvement of the Hospital Director and senior members of the management in the IFH Committee
Establishment of Spiritual Department or Shariah Department in ensuring the successful implementation of IFH programs
Regular meeting and report by the committee (at least 4x/year)
3. CULTURE IN IFH:
GENERAL CULTURE
-good values – (Itqan/Ikhlas/Ihsan)
SPECIFIC CULTURES
-Culture of smiling &salam
Reciting Bismillah/Alhamdulillah/Insha’Allah at appropriate time pre/during or post procedure
Remembering God
Campaign/poster/banner promoting these cultures and awareness of IFH
Continuous monitoring of the staff practices and assimilation of these practices
4. HUMAN RESOURCE MANAGEMENT:
Basic training – awareness about IFH
Introduction programs and basic trainings for all staff on IFH
Preparation of manual for basic training in IFH
REGULAR ongoing program – sustainability and monitoring
5. FACILITIES FOR IFH:
Orientation for patients about salat facilities and providing assistance to those needed
Salat reminder/assisting patients to perform salat
Audio visual facilities in reminding patients/staff on prayer
Facilities to perform salat (Qibla direction/proper attire/clean area)
Bottle spray/Tayammum powder/Books/Guidelines for prayer/wudhu/Tayammum)
Patients attire – covering Awrah in ward/during delivery/ procedure & surgery
Separate wards/rooms for different gender
6. SOPS IN IFH:
General SOPs – assimilation of good values at all levels-good character (akhlaq)
SOPs in all clinical settings – orientation for new admission
Pre & post procedures
Chaperone
Guiding and helping patients to perform ibadah
7. DIGNITY OF PATIENTS AND STAFF:
ECG, USG and other procedures by same gender
Catheter performed by same gender
Ensuring awrah/Satr of patients in OT/delivery rooms are being taken care of following shariah guidelines
8. HUSNUL KHATIMAH:
Establishing chaplaincy services – (talqin services/spiritual support for patients and relatives)
Assisting family in preparing WASIAT/Family support
Talqin – encouraging family to talqin patients/ensuring staff available to support patient during terminal stage
Assisting family for the funeral arrangement
9. QUALITY MANAGEMENT:
Quality Committee in monitoring the implementation of IFH
Internal and external audit
Patient’s feedback regarding the IFH programs in the hospital
Scheduled monitoring of the programs
These are some of the suggested elements which could become the essentials in the implementation of IFH.There are many additional programs which need to be implemented in IFH. All departments and sections need to prepare SOPs and programs related to the IFH.
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