Islamic moral judgement on resuscitation issue: nursing perspective

• Main Authors: Mohamad Firdaus, Mohamad Ismail, Hashi, Abdurezak Abdulahi, Nurumal, Mohd. Said, Md Isa, Muhammad Lokman
• Format: Article
• Language: English
• Published: Kulliyyah of Medicine, International Islamic University Malaysia 2018
• Subjects: RT71 Study and Teaching; RT82 Nursing As A Profession
• Online Access: http://irep.iium.edu.my/96667/7/96667_Islamic%20Moral%20Judgement%20on%20Resuscitation%20Issue.pdf; http://irep.iium.edu.my/96667/; https://journals.iium.edu.my/kom/index.php/imjm/article/view/971
• Institution: Universiti Islam Antarabangsa Malaysia

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.