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Emerging Professional Identity in Patient Hand-Off Routines: A Practical Application of Performative Face Theory
Megan E Cullinan1, Rebecca Purtell2, Heather E Canary3
1Communication and Media, Merrimack College.
Health Communication
|December 17, 2020
Summary
Pediatric residents
Area of Science:
- Medical Education
- Healthcare Professional Identity
- Qualitative Research
Background:
- Professional identity is crucial for healthcare providers' work and team interactions.
- Limited understanding exists on how professional identity shapes routine interactions for emerging healthcare professionals.
Purpose of the Study:
- To explore pediatric residents' experiences with a structured hand-off tool.
- To investigate the role of professional identity during patient hand-offs.
Main Methods:
- Qualitative interviews with 20 pediatric residents.
- Iterative interpretive qualitative data analysis.
Main Results:
- Patient hand-off is a site where "face" and professional identity are negotiated.
- Statements during hand-offs can impact team members' professional identity and self-perception.
Conclusions:
- Organizational culture and training need optimization for structured hand-offs.
- Physician training should emphasize hand-off as a key area for professional identity development.
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