Faculty of Pharmacy, Beirut Arab University, P.O. Box: 11, 5020, Beirut, Lebanon.
College of Pharmacy, Natural and Health Sciences, Manchester University, 10627 Diebold Rd., Fort Wayne, IN, 46845, USA.
J Relig Health. 2021 Apr;60(2):922-940. doi: 10.1007/s10943-019-00910-x.
Caring for millions of Muslim patients who decide to fast during Ramadan can be challenging for clinicians. Using a theory-guided approach, this study explores Muslim patients' perspectives on factors influencing communication with clinicians in relation to fasting during Ramadan. Semi-structured interviews were conducted with a sample of patients in Egypt (9) and the USA (8). Participants were purposefully sampled to assure variance in age, gender, education, decision to fast and ethnicity. Data emerging from narratives were mapped to constructs within the Linguistic Model of Patient Participation in Care (LMOPPC). Using framework analysis, iterative sampling and analysis continued until saturation. Drawing on LMOPPC, participants' narratives were mapped and clustered into patient participation and quality of care; predisposing factors (perceptions about fasting and its significance including sense of spiritual benefit when fasting and sense of guilt when not fasting, prior experiences including prior conversations with clinicians on fasting and experience of fasting while sick, patients' personality and locus of control, belief in the legitimacy of participation, motivations and perception of need to communicate with clinicians about fasting, provider verbal and nonverbal responses, and provider-patient rapport); and enabling factors (knowledge about the topic and repertoire of communicative skills, presence of companions during appointment, and timing of appointments). The LMOPPC framework provided insight into patients' perspectives on barriers and facilitators for communication with clinicians about fasting during Ramadan. It is important for stakeholders to consider those issues when implementing interventions aiming to adopt a concordant approach in providing care for this group of patients.
照顾数百万在斋月期间决定斋戒的穆斯林患者对临床医生来说可能是一项挑战。本研究采用理论指导方法，探讨了穆斯林患者对与斋月期间斋戒相关的与临床医生沟通的影响因素的看法。在埃及（9 人）和美国（8 人）对患者进行了半结构式访谈。参与者是根据年龄、性别、教育、斋戒决定和种族等方面的差异进行有目的抽样的。从叙述中出现的数据被映射到护理参与语言模型（LMOPPC）中的结构中。使用框架分析，不断进行迭代抽样和分析，直到达到饱和。借鉴 LMOPPC，将参与者的叙述映射并聚类为患者参与和护理质量；促成因素（对斋戒及其意义的看法，包括斋戒时的精神收益感和不斋戒时的内疚感、既往经历，包括与临床医生就斋戒进行的既往对话以及生病时的斋戒经历、患者的个性和控制源、对参与合法性的信念、与临床医生就斋戒进行沟通的动机和感知需求、提供者的言语和非言语反应以及医患关系）；以及有利因素（对该主题的了解和沟通技巧的储备、预约时陪伴者的存在以及预约时间）。LMOPPC 框架深入了解了患者对在斋月期间与临床医生就斋戒进行沟通的障碍和促进因素的看法。利益相关者在实施旨在为这群患者提供一致护理的干预措施时，考虑这些问题很重要。
