Examining professional identity in newly integrated care teams

The juncture of integrated care and professional identity is an under-researched yet critical intersection. This study aims to support the development of integration by gaining further understanding about the professional identity of integrated care team members.

Qualitative case study methodology using observations, semi-structured interviews and focus groups was used to explore professional identity in three UK newly integrated, community teams. The cases were nursing (n = 17), therapy (n = 13) and mental health nursing (n = 3) professions.

All professions identified with their own professional group. Some new identification with the integrated teams was evident, although individual professional group identity was always salient. Key themes were professional role, perceived lack of understanding, defensiveness and security. Participants employed tactics to prove their worth, strengthen their professional identity and counteract perceived threats against their profession.

Profession specific identities should be recognised and nurtured to reduce defensiveness and counteract threat. Differences between professions should be acknowledged and space given to improve understanding between professions. When individual professional identity is supported, team members can start to form a new, additional identity within their integrated team.

Identification with professional in-groups was based on security, not discrimination against other professions. Professional groups didn't feel understood by other professional groups but still maintained respect and recognition for their expertise. Tactics employed to counteract professional identity threat included proving how busy they were.