https://sms.carm.es/ricsmur/handle/123456789/17604 2026-05-10T19:11:15Z 2026-05-10T19:11:15Z Alonso-Crespo, David Rodríguez-Mondéjar, Juan-José Leal-Costa, César https://sms.carm.es/ricsmur/handle/123456789/25913 2026-04-20T09:52:39Z 2026-04-01T00:00:00Z

Scoping review of the evolution of delirium detection, diagnostic, and severity assessment scales Alonso-Crespo, David; Rodríguez-Mondéjar, Juan-José; Leal-Costa, César Aim/Objective: To systematically compile and analyze all delirium detection tools, establishing a temporal and contextual framework to clarify current knowledge. Background: Delirium is a prevalent condition in hospitalized patients, particularly older adults, associated with high morbidity, mortality, and healthcare burden. Early diagnosis is essential for timely intervention. Despite the development of numerous diagnostic tools over five decades, existing resources remain fragmented, necessitating a comprehensive synthesis. Methods: A scoping review was conducted across six databases (PubMed, Cochrane Library, Cuiden, LILACS, CINAHL, Web of Science) following Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines. Results: Nearly 100 delirium detection tools were identified and categorized into five comparative tables, providing a structured overview of key features. Conclusions: This review consolidates dispersed information, presenting a comprehensive timeline of delirium assessment tools. Findings support clinical practice and research by offering an updated, structured perspective on available screening and diagnostic methods. (c) 2026 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)

2026-04-01T00:00:00Z García-Hernández, Miguel Marín-Rodríguez, María Jiménez-Ruiz, Ismael Jiménez-Barbero, José-Antonio Sánchez-Munoz, María Pastor-Bravo, María-del-Mar https://sms.carm.es/ricsmur/handle/123456789/25698 2026-04-06T11:22:55Z 2026-02-11T00:00:00Z

Social Determinants of Health Influence on Trans and Gender-Diverse People: A Qualitative Photovoice Study García-Hernández, Miguel; Marín-Rodríguez, María; Jiménez-Ruiz, Ismael; Jiménez-Barbero, José-Antonio; Sánchez-Munoz, María; Pastor-Bravo, María-del-Mar 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.

2026-02-11T00:00:00Z Pastor-Bravo, María-del-Mar Marín-Rodríguez, María Martín-Castillo, David Jiménez-Barbero, José-Antonio García-Arenas, José-Joaquín Sánchez-Muñoz, María https://sms.carm.es/ricsmur/handle/123456789/25063 2026-03-09T09:01:11Z 2025-11-18T00:00:00Z

Experiences of Health Care Access Among Trans Adolescents in the Region of Murcia, Spain Pastor-Bravo, María-del-Mar; Marín-Rodríguez, María; Martín-Castillo, David; Jiménez-Barbero, José-Antonio; García-Arenas, José-Joaquín; Sánchez-Muñoz, María Objective: The objective of this research is to explore the healthcare access experiences of trans and gender-diverse adolescents in the Region of Murcia (Spain). Methodology: An exploratory qualitative study was conducted using an interpretative phenomenological approach, consisting of semi-structured interviews with adolescents and their families. The study sample consisted of 20 participants: 10 trans and gender-diverse adolescents residing in the Region of Murcia and their respective mothers. Interview dyads (adolescent and mother) were incorporated sequentially until data saturation was reached. Transcription and data pre-analysis were conducted simultaneously, following the steps outlined in Interpretative Phenomenological Analysis (IPA). Results: The results are structured based on personal barriers of the participants, perceived barriers in interactions with professionals, and institutional barriers to receiving quality healthcare. Conclusions: This study helps raise awareness about the situation faced by trans adolescents in healthcare settings. It is essential for healthcare professionals to receive greater training and awareness regarding transgender health and for centers to have action protocols, services, and facilities tailored to these patients.

2025-11-18T00:00:00Z Martín-Castillo, David García-Arenas, José-Joaquín Sánchez-Muñoz, María Jiménez-Barbero, José-Antonio Pastor-Bravo, María-del-Mar https://sms.carm.es/ricsmur/handle/123456789/24926 2026-03-09T08:59:47Z 2025-08-19T00:00:00Z

School-based victimization of transgender youth: A qualitative study Martín-Castillo, David; García-Arenas, José-Joaquín; Sánchez-Muñoz, María; Jiménez-Barbero, José-Antonio; Pastor-Bravo, María-del-Mar BACKGROUND: Evidence indicates that transgender adolescents are at heightened risk of experiencing violence during their school years. This study aims to explore victimization experiences from the perspective of transgender students and their mothers. METHODS: A qualitative phenomenological approach was used, employing in-depth interviews to examine experiences of school victimization among transgender youth and their mothers. Participants were recruited until data saturation was reached (n=10). Interviews were audio-recorded, transcribed, and analysed using thematic content analysis in parallel with ongoing data collection. RESULTS: Transgender children and adolescents, along with their mothers, described various victimization forms in school settings, including physical and verbal abuse, and cyberbullying. These experiences were associated with significant biopsychosocial consequences, such social withdrawal, violent behaviour, depression, and suicidal ideation. CONCLUSIONS: The findings in this study highlight the urgent need to understand and address the diverse forms of victimization faced by transgender students. The study underscores the importance of implementing comprehensive anti-bullying strategies, including awareness campaigns, peer support systems, targeted protocols, and specialized training for school personnel.

2025-08-19T00:00:00Z