Muslims and End-of-Life Healthcare in Non-Muslim Majority Nations: A Systematic Literature Review.

CONTEXT: As Muslim populations in non-Muslim majority nations grow and age, they will increasingly require culturally appropriate healthcare. Delivering such care requires understanding their experiences with, as well as preferences regarding, end-of-life healthcare. OBJECTIVES: To examine the experiences, needs, and challenges of Muslim patients and caregivers with end-of-life, hospice, and palliative care. METHODS: A systematic literature review using five databases (MEDLINE, Scopus, Web of Science, CINAHL, Cochrane Library) and key terms related to Islam and end-of-life healthcare. Papers were limited to English-language empirical studies of adults in non-Muslim majority nations. After removing duplicates, titles, abstracts, and articles were screened for quality and reviewed by a multidisciplinary team. RESULTS: From an initial list of 1867 articles, 29 articles met all inclusion criteria. Most studies focused on end-of-life healthcare not related to palliative or hospice services and examined Muslim patient and caregiver experiences rather than their needs or challenges. Content analysis revealed three themes: (1) the role of family in caregiving as a moral duty and as surrogate communicators; (2) gaps in knowledge among providers related to Muslim needs and gaps in patient/family knowledge about advance care planning; and (3) the influence of Islam on Muslim physicians' perspectives and practices. CONCLUSION: There is scant research on Muslim patients' and caregivers' engagement with end-of-life healthcare in non-Muslim majority nations. Existing research documents knowledge gaps impeding both Muslim patient engagement with end-of-life care and the delivery of culturally appropriate healthcare.

No evidence of a curvilinear relation between conscientiousness and relationship, work, and health outcomes.

Across 2 studies and 4 samples (Ns = 8,332, 2,136, 4,963, and 753, respectively), we tested whether the relation between conscientiousness and variables associated with important aspects of individuals' lives were curvilinear such that being high on conscientiousness was manifestly negative. Across multiple outcomes including measures of health, well-being, relationship satisfaction, job satisfaction, and organizational citizenship, we found no evidence for a systematic curvilinear relation between conscientiousness and these outcomes. Furthermore, heeding the call to use more sophisticated psychometric modeling of the conscientiousness spectrum, we used different types of scale construction and scoring methods (i.e., dominance and ideal point) and again found no evidence of curvilinear relationships between conscientiousness and the aforementioned variables. We discuss the potential reasons for the inconsistency with past research. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Compensatory Conscientiousness Redux: A Direct Replication of Roberts, Smith, Jackson, and Edmonds (2009).

The present study attempted to closely replicate Roberts, Smith, Jackson, and Edmonds (2009) who found, in part, a compensatory effect such that individuals with spouses higher in conscientiousness reported higher self-rated health and fewer physical limitations in the Health and Retirement Study. Using similarly structured data from the National Social Life, Health, and Aging Project (N = 953), the current study found results largely consistent with the original study such that partner conscientiousness predicted both self-rated health and physical limitations, and husbands' conscientiousness and neuroticism interacted when predicting wives' self-rated health. A discussion of the usefulness of statistical significance versus effect size in replication follows.

Are you in a healthy relationship? Linking conscientiousness to health via implementing and immunizing behaviors.

The benefits of living a conscientious life have been demonstrated across multiple domains, and yet, few studies have sought to explain how the positive effects in one area may help explain those in another. The current article considers the possibility that conscientious individuals live healthier lives by virtue of having greater success in their relationships. Using both past research and new findings to support our model, we set forth a framework by which to consider how Conscientiousness affects relationship functioning, which in turn leads to better physical, emotional, and psychological health. In so doing, we also provide a new outlook on the health benefits associated with Conscientiousness, and how these may be conferred by relationship success.