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Role-based identities are central to understanding how individuals navigate social environments by adopting distinct self-conceptions aligned with various societal roles. These identities are not fixed traits but are constructed through personal actions and the social feedback individuals receive in context-specific interactions. Each social role, such as student, teacher, or friend, carries a set of expectations and norms that influence how people think, feel, and behave within that...
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Personal identity is the deeply felt sense of self that individuals cultivate over time, intricately woven from intrinsic qualities they consider essential to their existence—qualities such as morality, intelligence, and friendliness. These attributes serve as vital internal benchmarks, guiding individuals in evaluating whether their actions resonate with their true selves.When personal identity takes center stage in one's life, individuals often emphasize their distinctiveness,...
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Related Experiment Video

Updated: Oct 29, 2025

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Changing relationships: how does patient involvement transform professional identity? An ethnographic study.

Marie-Pierre Codsi1, Philippe Karazivan2,3, Ghislaine Rouly3

  • 1Department of Family Medicine, University of Montreal Faculty of Medicine, Montreal, Quebec, Canada marie-pierre.codsi@umontreal.ca.

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Summary

Health professionals experienced identity tensions when collaborating with patient partners in quality improvement committees. Shifting from a caregiver-patient dynamic to a colleague-colleague relationship created professional identity upheavals.

Keywords:
change managementhealth policymedical ethicsqualitative researchquality in health care

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Area of Science:

  • Healthcare professional identity
  • Patient engagement in healthcare quality improvement
  • Sociology of professions

Background:

  • Quality improvement committees increasingly involve patient partners.
  • Health professionals traditionally operate within a caregiver-patient dynamic.
  • Understanding identity shifts is crucial for successful patient partnership initiatives.

Purpose of the Study:

  • To explore identity tensions experienced by health professionals when patient partners join a quality improvement committee.
  • To analyze how the transition from a caregiver-patient to a colleague-colleague relationship impacts professional identity.

Main Methods:

  • Qualitative ethnographic study utilizing participatory observation.
  • Data collected through observations, logbook notes, and semi-structured interviews (2017-2019).
  • Analysis employed Ghadiri's identity threats theoretical framework and QDA Miner software.

Main Results:

  • Professionals experienced identity upheavals when shifting to a colleague-colleague relationship with patient partners.
  • Key tensions included competing ideals of the 'good professional' and blurred patient/professional boundaries.
  • Professionals navigated the coexistence of their caregiver and colleague identities.

Conclusions:

  • Patient partnership transforms health professionals' identity, creating tensions between caregiver and colleague roles.
  • These identity shifts help explain resistance to patient engagement initiatives.
  • Effective patient partnership requires a flexible relational framework accommodating multiple professional identities.