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Jiménez Ruiz, Ismael

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Jiménez Ruiz, Ismael
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Universidad de Murcia. Departamento de Enfermería
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Author: Jiménez Barbero, José Antonio ×

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    Social determinants of health influence on trans and gender-diverse people: a qualitative photovoice study
    (MDPI, 2026-02-11) Marín-Rodríguez, María; Jiménez Ruiz, Ismael; Jiménez Barbero, José Antonio; Sánchez-Muñoz, María; Pastor Bravo, María del Mar; García Hernández, Miguel; Enfermería; Facultad de Enfermería
    Despite the introduction of inclusive and gender-affirming approaches in healthcare, transgender and non-binary people continue to show poorer physical, psychological, and social outcomes, shaped by social determinants within historically pathologizing and stigmatizing contexts. This study used qualitative participatory action research with photovoice among seven transgender individuals residing in Murcia, Spain; data were generated through semi-structured interviews and focus group dialogue, applying the SHOWED technique to the visual and discursive narratives of the participants, and analyzed with Atlas.ti v8. Educational, employment, and healthcare contexts significantly condition well-being. Well-being was determined by the circumstances and support in which gender identity is constructed, within sociocultural environments marked by gender stereotypes, exclusion from social spaces, and fears regarding the irreversibility of certain transition steps. Reported lifetime negative events, social barriers, exclusion, and persistent questioning of identity were associated with increased anxiety, depressive symptoms, and insomnia. At the same time, the relevance of resilience and support networks also emerged during the sessions. Replicating photovoice in diverse settings may help identify social and territorial inequities and inform improvements in clinical practice, healthcare education, public policies, and legislation for transgender and gender-nonconforming people.
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    Job satisfaction in midwives working in labour ward: a systematic review with meta-analysis
    (Elsevier, 2024-07-19) Pérez Castejón, Marta; Suárez Cortés, María; Jiménez Ruiz, Ismael; Jiménez Barbero, José Antonio; Enfermería; Facultades de la UMU::Facultad de Enfermería
    Abstract Problem: There is little documented evidence of job satisfaction in midwives who work in birthing rooms. Background: Job satisfaction in midwives who work in birthing rooms may have changed in recent decades due to the medicalization of maternal health. Aim: To analyse job satisfaction levels among midwives working in birthing rooms. Methods: We searched Web of Science, SCOPUS, MEDLINE, CUIDEN and CINAHL for observational and mixed method studies. The literature search was carried out from September to October 2022. Findings: A total of 13 studies were included in the systematic review. A meta-analysis of the variable "midwives' job satisfaction" was performed on 12 of the studies. Midwives rated their job satisfaction positively: DME, CI (95%) = 1.24 [0.78, 1.69]. Subgroup 1: DME, CI (95%) = 2.41 [2.05, 2.76]); Subgroup 2: DME, CI (95%) = 0.76 [0.65, 0.86]; subgroup 3: DME, CI (95%) = 1.11 [0.95, 1.27]; subgroup 4: DME, CI (95%) = 0.10 [-0.11, 0.31]. Discussion: Although midwives show high levels of satisfaction, the heterogeneity of instruments, lack of specificity and limited number of studies found restrict the outcomes. Conclusion: There are no specific measurement instruments for assessing job satisfaction among midwives working in labour wards, so it is possible that these data do not correspond to reality as they do not take into account specific professional aspects within this field of practice.
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