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Record W4416167163 · doi:10.1111/bioe.70056

Empowering End‐of‐Life Decision‐Making: Utilizing Brochures to Support Muslim Patients and Families in Canada

2025· article· en· W4416167163 on OpenAlex
Maram Hassanein

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueBioethics · 2025
Typearticle
Languageen
FieldMedicine
TopicPalliative Care and End-of-Life Issues
Canadian institutionsCanadian Bioethics SocietyDe VeberSickKids Foundation
Fundersnot available
KeywordsIslamLegislationHealth careMulticulturalismDiversity (politics)Value (mathematics)

Abstract

fetched live from OpenAlex

Canada is a multicultural country with diversity across faiths and ethnicities. Although Islam is the second-largest reported religion, healthcare providers often lack familiarity with Islamic beliefs, values, and how they impact end-of-life decision-making compared to the more commonly encountered faiths, such as Christianity. For Muslims, guidance on end-of-life decision-making is sought from the teachings of the Quran, Sunna, and Islamic rulings. However, decision-making may be influenced by a lack of awareness among Muslim patients, their families, and healthcare providers regarding the Islamic permissibility and prohibitions related to end-of-life care. Additionally, there may be a limited understanding of the prevailing healthcare legislation that structures end-of-life care in Canada. This adds to the existing barriers faced by Muslim patients and their families when making decisions that are both religiously and culturally informed while residing in a non-Muslim majority country and receiving care from non-Muslim providers. With the goal of increasing awareness, promoting autonomy, and empowering patients to actively participate in their healthcare and make informed decisions, this paper explores the development and potential value of a decision-making tool: a brochure that integrates Islamic perspectives on end-of-life care with the Canadian healthcare legislation and policy. Although the brochure is primarily intended for Muslim patients and families, it also aims to support healthcare providers and raise awareness when a Muslim Chaplain or Imam is unavailable.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.307
Threshold uncertainty score0.769

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.124
GPT teacher head0.444
Teacher spread0.320 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it