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Martínez Alarcón, Laura

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Martínez Alarcón, Laura
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Universidad de Murcia. Departamento de Enfermería
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    Job satisfaction among midwives in high-intervention birthing rooms: a qualitative phenomenological study
    (MDPI, 2025-06-02) Pérez-Castejón, Marta; Molina Rodríguez, Alonso; Martínez Alarcón, Laura; Jiménez Ruiz, Ismael; Enfermería; Facultad de Enfermería
    Objectives: To identify the factors influencing the job satisfaction of midwives working in birthing rooms with a medium to high level of obstetric intervention. Methods: A qualitative phenomenological–hermeneutic design based on Heideggerian philosophy was implemented. A study involving 25 participants, midwives, and resident nurses (RINs) was conducted. Residents were included to enrich the analysis with their critical perspectives with regard to interventional procedures and exposure to acts of obstetric violence. Convenience sampling was used. Data were collected from four focus groups in three hospitals in the region and one in-depth interview between 30 September 2022 and 23 June 2023. The testimonies were recorded and transcribed verbatim, and data analysis was carried out using an inductive–deductive approach. The triangulation of data and researchers was used to minimise potential bias. Results: The participants highlighted the following key dimensions or areas that contribute to midwives’ job satisfaction in the labour and birthing room: maternal satisfaction, professional competencies, multidisciplinary team, working conditions, and interventions during childbirth. Conclusions: These findings may inform healthcare management strategies to reduce burnout and improve working conditions in maternity care settings.
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    Construction and validation of the “labour ward job satisfaction scale for midwives (LWJSS-M)” in Spain
    (BioMed Central, 2025-10-14) Pérez Castejón, Marta; Martínez Alarcón, Laura; Leal Costa, César; Suárez Cortés, María; Vera Pérez, José Antonio; Jiménez Ruiz, Ismael; Enfermería
    Background Midwives’ job satisfaction is essential to ensuring high quality obstetric care and promoting the well-being of both women and healthcare professionals. However, the medicalised model of childbirth and role conflicts within multidisciplinary teams reduce job satisfaction and increase burnout, leading to high rates of staff turnover. There is therefore a need to develop a comprehensive tool to assess the job satisfaction of midwives working in birthing rooms. Thus, the aim of this study is to develop and validate the following scale: Satisfacción Laboral en Paritorio para Matronas (SLP-M) [Job Satisfaction of Midwives in the Birthing Room]. Methods A two-phase instrumental study was conducted. Firstly, to develop the new instrument a systematic review with meta-analysis and a phenomenological qualitative study were carried out. An expert content validation and the content validity index were conducted. For the validation, psychometric properties of the scale were analysed: item performance, reliability, evidence of validity and its internal structure. Non-probabilistic sampling was used with a minimum of 10 participants per item. They were midwives involved in childbirth areas and were recruited via online. Results A total of 476 complete responses were recorded, with the scale achieving an overall McDonald’s omega of 0,937. Following confirmatory factor analysis, two items with factor loadings below 0.30 were eliminated and the five-dimension model was selected as a good fit, among which are: professional skills in supporting the childbirth process; functional multidisciplinary team; intraprofessional relationships and cooperation; satisfaction with antenatal education and working conditions/determinants of job satisfaction. Conclusion The SLP-M consists of 37 items with good internal consistency, grouped into five dimensions. This approach is designed to ensure the continued viability of the midwifery profession and the quality of care provided.
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