An Nur Specialist Hospital
An Nur Specialist Hospital
An Nur Specialist Hospital
com
Abstract:
In Malaysia, the awareness for the need of Islamic management practices is growing day by day. By implementing the
Islamic practices in all aspects of life, it has brought many organizations to realize the importance of following and
implementing the Shariah practices. An-Nur Specialist Hospital is the first private hospital awarded with the Shariah
Compliance Certificate, MS 1900: 2014. An-Nur Specialist Hospital is located in Bandar Baru Bangi, Selangor, Malaysia.
The hospital has been in existence for 1o years and its vision is to lead in being a Shariah-compliant healthcare provider.
This hospital provides a Shariah advisor in managing its business operation in the aspects of treatments, facilities, services,
and the management. An-Nur Specialist Hospital is establishing the Islamic Values through professionalism, morals, care,
trustworthiness and teamwork in its Islamic management practices.
1. Introduction
Malaysia is a multicultural country with Islam as the official religion. As of July 2016, the total population was 30,949,962 million
with approximately 19.5 million Muslim adherents or 61.3% (Malaysia Demographics Profile, 2016). According to Zakiah & Fadilah
(2013), the Malaysian population as of July 2012 was 29, 179,952 million with the Muslims being estimated at around 2013.62
million.Hence, with the increasing number of the population in four years (2012 2016), it shows the need for Islamic practices in
every aspect of human lives and in organizations in order to lead their life in a better way with harmony and peace. Mohamed, Nur
Arfifah, & Abdul Kadir (2014) stressed that the teachings and practices of the Prophet Muhammad (Peace be Upon Him) and his
companions should be followed and applied in the management of self and organizations. According to Ilhaamie (2010), the impact of
Islamic practices in organisational performance is better than with the conventional practices.Therefore, with the core values of the
Islamic system, people perform better in their work as well as in their daily activities. The quality of life is better with Islamic
practices. Islam is a way of life that can be defined as the guidance to all mankind with no discrimination to anyone. As stressed by
Mohd Shahril, Murshidi, & Norzaidi (2014), Islam refers to a complete way of life where its teaching cover all spheres of human life
and also unify the people of the society.
Thus, with the increasing number of the Muslim population, Islamic management practices amongst organization are growing day by
day. However, according to Sulaiman, Nur Arfifah, & Abdul Kadir (2014), the number of Islamic management practices in Malaysian
organizations is still limited. In contrast, a study conducted by Ilhaamie (2010)found that the overall implementation of Islamic
management practices is moderate. Several organisations are implementing Islamic management practices, such as in banking
services. A study undertaken by Sudin (1998) found that for the bank services, the practices of Shariah principles are in terms of the
uses and sources of funds. In other practices, such as in hotel industries, it is important for hotel industries to adopt the
Shariahcompliance in their services especially to accommodate the needs of the upcoming Muslim tourists and travellers from other
Islamic countries (Zakiah & Fadilah, 2013). Whilst, according to Shaharom & Abdul Rashid (2016), Shariah hospitals are the places
where the healthcare services are rendered in accordance with the Islamic teachings or Islamic practices. Therefore, it is time for
Islamic management implementation and practices at every organisational level in Malaysia, which can lead to the higher quality and
performance.
3. Islamic Shariahlaw
Islamic management is about the management of idealism, objectives, method of activities, and results that are in accordance with
Islamic aqidah and Shariah as the base and guidance. Islamic law or Shariah is literally defined as the way(Sharia, 2016), the way to
make a better life with the guidance of Allah (SWT) and His Prophet Muhammad (Peace be Upon Him). Shariah will lead the human
beings to the success in this world and the Hereafter. Shariah governs all aspects of human life and the main objective is to give justice
to all. This is supported by Adibah (2013) who stated that Shariah is able to produce perfect standard rules to conduct all aspects of
mans life from religious rituals up to social, economic, judicial systems and so on. Shariah is the Islamic religious law involving the
principles and disciplines that govern the behaviour of a Muslim individual in his/her day-to-day life. The principles are based on the
holy Quran, hadith, and Sunnah. Sunnah is the practices and teachings of the Prophet Muhammad (Peace be Upon Him). In other
ways, the principles are also based on rational endeavors, analogical juristic reasoning, and consensus (ijma). In real life, the
principles involve an individual with other individuals. As an example, a person cannot carry out the duties on Shariah aspects on
his/her own but needs the communities to act together. By acting in a group, the mission is easier to achieve. Therefore, in the aspect
of the organization, all of the people have work together in order to apply the Shariah practices in their business process. Working in a
group will make the task more perfect and easier rather than when working individually. The objectives of Shariah law (maqasid al-
Shariah) are to safeguard the interests and needs of people in terms of faith, human self, intellect, posterity, and wealth in this world
and the hereafter. Thus, the goal is to preserve the community interest which is desirable. Hence, the implementation of the Shariah
practices will facilitate the performance of all aspects of life.
In Malaysia, Shariah principles are mostly adopted in banking services. Islamic banks, such as Bank Islam Malaysia Berhad, Bank
Muamalat, Maybank Islamic, etc. have applied the Shariah concept in their products and transactions. This is supported by Ezry
Fahmy Eddy (2008) who reported that Islamic banks in Malaysia are fully adopting Shariah law as it provides an interest-free banking
system as well as produces Shariah-compliant products. The banking system is based on the principles of Shariah law which are
guided by Islamic economics. The principles consist of the sharing of profit and loss, and the prohibited collection and payment of
interest by lenders and investors. A previous study undertaken by Sudin (1998) reported that Islamic banks are providing the banking
facilities and services in line with Islamic principles, practices, and rules. Meaning that every service that is provided by conventional
banks, such as savings accounts, checking current accounts, fixed or deposits or any other services, is also available at Islamic banks.
Furthermore, the uniqueness of Islamic banks is that they actively participate in social activities, such as benevolent loans, collection
and distribution of zakat funds, donations, and other activities, that cannot be found at any conventional banks.
In terms of healthcare services, some of the hospitals are currently are adopting the Shariah law in their business operation. As
stressed by Nur Hidayah, Zurina, Nursilah, Abdul Manan, & Zainal Abidin (2014), Malaysia has a potential in offering Shariah
medical tourism as an another option as more tourists and travellers from the Middle east countries, such as the United Arab Emirates,
Bahrain, and Saudi Arabia, prefer to come to Malaysia as they are looking for the halal (permissible) options. Nur Hidayah et al.
(2014) stated that Shariah medical tourism can be a pulling factor for tourists from the Muslim countries. Healthcare is one of Shariah
practices that can protect lives (Norizah & Asmak, 2015). According to Shaharom & Abdul Rashid (2016), a Shariah-compliant
hospital is a hospital that provides healthcare services in accordance with Shariah principles and practices. In the aspects of Shariah
products, such as medicine, the base of the medicine must be halal as it is one of the principles of Shariah law. There is a case related
with gelatine used in producing the capsule, which is normally derived from pig porcine and is haram (prohibited) for Muslims
(Shaharom & Abdul Rashid, 2016). Therefore, by adopting the Shariah law and principles, it can be as a guidance for the hospital in
searching for the halal one. According to Shaharom & Abdul Rashid (2016), the basic characteristics for Shariah practices are:
a. Clear and understand the basic principles of Shariah,
b. Clear and understand the principles of halal and haram,
c. Clear and understand the principles of Muamalat,
d. Understand and practice the Islamic Quality Concept, and
e. Implement and establish the Core Values of Islam.
Therefore, the Islamic management practices must follow the Shariah principles either in the aspects of the treatments, facilities,
services, management or products as well as the objective, vision, and mission of the organisation.
4.2.1.1. Professionalism
Professionalism includes the basic components such as responsibility, accountability, ethics, integrity, reasonableness, fairness,
education, qualification, training, experience, standards, and regulations (Muhamad Fuad, 2004). According to Omar Hasan (2008),
professionalism amongst the Muslim physicians refers to the proper behaviour and etiquette, which when being professional, involve
psychological and social support, reassurance, a show of fraternal love, and sharing. Therefore, the professionalism concept must be
adopted in order to face many different kinds of problems every day; if not, there will occur some unethical matters. Professionalism
is included in the leadership skills which can lead to organize, direct, guide, and motivate a group of people towards the organizations
goal. Leadership is defined as the process by which one person or individual can influence other group members towards their goal.
The influential role of leadership is the most important as being a leader enables people to do the right thing (Ali, 2015). Leaders also
need to be brave in solving any problem and challenges in completing a plan. A leader must be trustworthy and honest to avoid any
shenanigans occurring amongst the organizations. Leadership not only involves directing, guiding and motivating people, either
members of the organization, community or society, in a certain way, but also encouraging them to have a good and productive
manner towards achieving the goal. In the Islamic perspective, leadership or al-Qiyadah is not only able to guide, inspire, and
motivate his/her followers, but also to raise them to the highest level of existence as a human being towards the worship of Allah.
According to Ali (2015), leadership is a part of worship to Allah (SWT) as it is about the responsibility and trust that leaders feel
whenever they deal with their followers. Islamic leadership is unique as it is concerned with worldly matters as well as giving
consideration to the Hereafter (Ali, 2015). Hence, a Muslim leader is able to direct, guide, and motivate as well as to influence his/her
followers to the right path in line with achieving the organizational goal. The Prophet Muhammad (Peace be Upon Him) is an example
of a good leader and the best role model for all mankind. The Prophet (Peace be Upon Him) was an influential leader as he influenced
and guided his people to the new religion, starting with his wife, Khadija (r.a.), his close companion Abu Bakar al-Siddiq (r.a.) and
other companions, successfully. Hence, a great leader can change the world towards a better life, and the members of the organization
always need the motivation, guidance, and encouragement from their leader.
4.2.1.2. Morals
According to the Cambridge Online Dictionary (2016), morals are related to some standards of good behaviour, honesty, and fair
dealing as well as in actions that can be considered as being correct or honest. Morals are related to the manners, characters, and
proper behaviour which are all characteristics consisting in ethics. Morals and ethics are related to each other, as ethics are defined as
the moral principles that control a persons behaviour in doing an activity (Oxford Dictionary, 2016). According to Latiffi (1997) [see
in Mohamad Zaid,et al., (2012)], ethics are concerned with the evaluation of choices where the options are not clear, or where there is
no absolute right or wrong answer. Hence, ethics are related to the actions that will be taken later, either right or wrong, normally in
term of rights, benefits to society, or obligations. With the right ethics, such as telling the truth, being honest (al-Amanah), respecting
each other, fulfilling promises, etc., there will be an increase in the value of the person. From the Islamic perspective, Islams moral
system is about the morality and guidance of the human being in order to conduct something. Morality is one of the main causes of a
nation's strength. Morality not only leads to a morally healthy individual, but also aids in contributing to the moral health of the
society as a whole. As stated by Adibah (2013), ethics becomes the basic pillar that can contribute to a healthy organization. Thus,
ethical behaviour and moral conduct can contribute to the success of an individual, organization, and society. Islam emphasizes the
importance of ethics and the significance for the development of individuals and society. Besides that, in the holy Quran, it also
mentions the importance of ethics, Let there arise out a group of people that is good doing the right and forbidding the wrong. They
are the ones who attain success [Al-Imraan 3:104]. From this verse, by conducting good morals and being an ethical person, our life
becomes more successful, either in this world or the Hereafter. The Prophet Muhammad (Peace be Upon Him) is a good role model
and an ideal example of moral conduct and an ethical person. He said, "You cannot treat people with your wealth; you should treat
them by means of your moral conduct". It is shown that morals contribute to long lasting relationships as well as a successful life.
4.2.1.3. Care
According to the Cambridge Online Dictionary (2016), caring can be defined as giving emotional support to others. Caring is a feeling
that requires action (Vicki, 2012). Hence, caring can be concluded as an emotional feeling with action in order to show about taking
care of someone or something. Caring has been related with nursing as both shows the action of taking care. According to Tronto
(1993) [see in Vicki, 2012], the care of patients involves the cognitive, emotional, and physical actions which consist of caring about,
taking care of, caregiving, and care receiving. Hence, attention, responsiveness, and responsibility are needed in order to show the
support given to the patient. This is supported by the Islamic perspective that caring in Islam is about responsibility, sensitivity, and
concern as well as the motivation and commitment to act in the right manner in order to achieve perfection (Rassool, 2001). Thus,
caring is a lovely feeling that consists of responsibility, sensitivity, and concern about another person. Rubina & Rozina (2008) stated
that caring is a natural outcome of love that one has for humanity. To be healthy, a human being requires moral, ethical, and
intellectual qualities (Rassool, 2001). Caring is related to the Islamic code of ethics as it shows the action taken. According to Athar
(1995) [see in Rassool, 2001], the ethical aspect in the patients area of care consists of understanding the patient and his/her family in
the decision-making process, consoling and comforting the patient and his/her family and taking care of the familys needs if
something happens to the patient. Thus, the moral support and ethical action are related in the caring process.
4.2.1.4. Trustworthiness
According to the Cambridge Online Dictionary (2016), honesty can be defined as telling the truth and not being likely to lie or cheat,
and the person can be trusted. Honesty is related with trustworthiness. In addition, as stated by Aisha (2010), trustworthiness is
something needed in someone who has been left to protect or keep something by others and if there is a failure to do this, it is
considered to be betrayal or even treason. Trustworthiness can enhance the integrity and good morals as being trustworthy implies
comprehensive moral traits, repaying ones debt, being responsible, fair in dealings, keeping promises, and also being punctual. In the
Islamic perspective, honesty or al-Amanah refers to a state of peace, safety, security, shelter, and protection. In other words, al-
Amanah means trust, reliability, trustworthiness, loyalty, faithfulness, integrity, responsibility, and honesty. According to Muhamad
Fuad (2004), the quality of trustworthiness is related with the internalization of good values that could ascertain the prevalence of
ethical conduct and behaviour in the course of being a professional encompassing trustworthiness, truthfulness, integrity,
responsibility, accountability, commitment, attitude, justice and fairness, and other similar positive values. The sayings of the Prophet
Muhammad (Peace be Upon Him) inform us that A hypocrite is known by three traits: When he speaks, he lies; when he promises,
he reneges; when he is entrusted, he cheats (or embezzles). (Saheeh Al-Bukhari, Saheeh Muslim). Thus, the honesty or
trustworthiness or al-Amanah gives a big impact to an organization. Allah (SWT) created human beings as His vicegerents and the
creation is a trust from Allah (SWT) to man. As a vicegerent on earth, mankind has been assigned to establish a peaceful society.
Everything given to us, is called Amanahand should be managed appropriately based on Allahs laws and regulations. Therefore, as
human beings, we have to make our society live in peaceful ways, obeying Allahs law and commands.
4.2.1.5. Teamwork
According to the Business Dictionary (2016), teamwork is a process of people working together in a group in order to achieve a goal.
In other words, teamwork involves the individuals skills of trying to cooperate by providing constructive feedback. Teamwork is
about breaking down some work into smaller tasks by assigning each person with a specific task with the ultimate goal of achieving
certain objectives, tasks or jobs. Each team member has his/her own unique knowledge and this quality will help each other in
accomplishing the mission (Wikipedia, 2016). According to Nana & Angie (2016), the key factors in developing teamwork consists of
commitment, trust, purpose, communication, involvement, and process orientation. Hence, teamwork will build a long term
relationship, sense of responsibility, good communication skills as well as share the knowledge and skill with others. In the Islamic
perspective, working in a group has always been important and makes sense as it is impossible to survive alone. As stated by
Muzammil (2007), a human being is a creature in this world that needs others as he/she does not live in a jungle or cave with no need
of help from others to survive. Thus, working in a team is related to leadership (al-Qiyadah) as the leadership acts as the head of the
teamwork. In selecting the best leader, it is necessary to be based on the leadership qualities of the one who can lead the group in the
best way. Working together in a team is necessary for human survival (Muzammil, 2007). Thus, teamwork is a relationship that needs
members of the group to depend on each other, or from the Islamic concept, al-Taawun which means helping and supporting each
other or cooperation. Islam emphasizes the teamwork and cooperation towards the right and good things, either Muslim or non-
Muslim, as long as one is not involved with sinful, unjust, and hostile activities. The Prophet Muhammad (Peace be Upon Him) was
stern about teamwork. He said: Faithful believers are like the bricks of a wall that support and reinforce each other. (Hadith from
Al-Bukhari). The Prophet Muhammad (Peace be Upon Him) clasped his hands by interlocking his fingers and the interlocking device
of the tiny limbs of our fingers represents how close believers can be to each other, without breaking apart, and how much stronger
they can be, without allowing anything to fall through. Teamwork is synonymous with Al-Shura which can be defined as consultation,
sharing something or meeting in a group. Al-Shura is one of the Islamic principles of leadership. Through Al-Shura, the decisions
made are free from the personal interest as the decisions are made by a team. This is to ensure that all persons are well-taken care of
and the decisions made are not from solely one person. Hence, the leader will keep on the right path and the decision made will not be
for his/her personal interest.
4.2.2.1. Professionalism
The morality concept has been adopted through the professionalism practices at An-Nur Specialist Hospital. Good interaction and
communication skills will make the physician-patient relationship close and long lasting which makes the potential for the patients to
come again for the next treatment high as they like and are comfortable with the services provided by their favorite physician. Good
communication will develop and trust will be maintained. At this hospital, all the physicians and nurses are very friendly and talkative
with their patients. They are very kind, supportive, helpful, polite, and soft spoken to their patients. The practices such as greeting the
patient with salam, giving good consultation, respecting patients, using good encouraging words, asking about the patient's feelings,
advising the patient in a proper manner, and being a good listener and soft-spoken physician have always been adopted in An-Nur
Specialist Hospital. All physicians always have smiling faces and use low toned voices. If the patients keep asking questions, they will
answer again and again until their patient is satisfied with the answer. As the An-Nur Specialist Hospital carries out Islamic practices,
the Obstetrics and Gynecology Clinic is conducted by Muslim female physicians. Hence, this privacy issue should be no problem and
this specialty makes the mommy-to-be feel comfortable. For the patients that are giving birth, the physician will congratulate and hug
the mothers. By this caring action, patients will feel comfortable whenever they see and receive treatment from the physicians or
nurses. These values make them feel safe. Therefore, the good medical ethics and behaviour from the physicians, nurses or any staff
member from An-Nur Specialist Hospital will give a big impact to the quality and name of the hospital. They work as a team in order
to care for and treat the patients. Besides that, through their dress code, they also showed teamwork. For the nurses, they wear a proper
pink dress with the white hijab and it shows the identity of the Islamic Muslimah. The dress code also shows the identity of the
hospital itself and it contributes to a positive impression of the hospital. Therefore, with the professionalism and caring attitude shown
by the physicians, nurses, and other staff, it contributes to the trust and loyalty of the patients.
4.2.2.2. Services
An-Nur Specialist Hospital offers Obstetrics and Gynecology (O&G) services at the Klinik Pakar Wanita An-Nur or An-Nur
Obstetrics and Gynecology Clinic. This clinic is conducted by Muslim female physicians in accordance with the Islamic practices. All
the staff at this clinic are Muslim females. They provide comprehensive care for women with gynecological issues. This clinic is
taking care of the well-being of the patients during and after treatment. As for female Muslims that want to give birth, An-Nur
Specialist Hospital is the right choice as they will be served by female Muslim physicians. This clinic is a comfortable place to give
birth as they will take care of about the awrah during the process of giving birth. They will be given disposable pants to cover up
during the process of giving birth. The honor and dignity of a Muslim woman must be cared for. Besides that, their husband is also
asked to accompany and support them during childbirth. Only their husband can be in the Labour Room. The physicians will celebrate
the baby with the Salam after birth. This hospital also provides Surgery, Internal Medicine, Anesthesiology, Ophthalmology,
Orthopedic, Otorhinolaryngology (ear, nose, and throat), Pediatrics, and Psychiatry and Clinical Psychology services. The services
consist of inpatient, outpatient, and emergency services. As a hospital that applies Shariah practices, An-Nur Specialist Hospital also
provides male and female physicians depending on the request of the patients. Meaning that, the patient has the option to choose
his/her physicians. In the Outpatient visit, the staff nurse must accompany the doctor if the patient is a different gender. The Prophet
Muhammad (Peace be Upon Him) said: No man sits alone with women but Satan is the third one present narrated by al-Tirmidhi. In
the Patient Admission procedures, before the patient declines or refuses any treatment and he/she wants to take at Own Risk (AOR),
the hospital must explain about the risk of refusing the treatment, and they must make sure that the patients emotion and mental
health are in a stable condition in order to make any decision. The refusal must be documented as proof either by writing, a witness, or
the patient's signature. It shows that in Islamic practices, the hospital is transparent with the patients.
5. Conclusion
In implementing the Islamic management practices, it must be in accordance to the Islamic Shariah and be guided by its principles.
All the Standard Operating Procedures (SOPs) of the management are in accordance with the basic principles of Shariah. They consist
of understanding the Shariah principles, understanding halal and haram, understanding the Muamalat, understanding and
implementing the Islamic Quality Concept practices, and establishing the Islamic Core Values. Islam is a comprehensive religion that
takes human needs in a balance between the physical, emotional, and spiritual well-being. Therefore, through the high standards and
values inherent in Islam, this balance can be achieved. Moreover, the qualities or desirable virtues can enhance the performance
individually or organizationally. Hence, the maqasid al-Shariah will be achieved.
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