Article 2025

Professional Identity Formation in Allied Health: A Systematic Review with Narrative Synthesis

Teaching and Learning in Medicine
Journal · Vol. 37 · Issue 1 · pp. 24-40
Abstract

Phenomenon: Professional identity formation is a key component of health professional education. Changing expectations of healthcare requires more than competencies, but also an ingrained responsibility to patients, with our values and behaviors aligned with community expectations of patient-centered health professionals. Research into professional identity formation has focused on nursing and medical training, and, although allied health professionals make up one third of the workforce, research is uneven across these disciplines. Health professions educators from these under-researched disciplines have less guidance for how to support students’ professional identity, meaning students may graduate with less mature professional identities. This systematic literature review synthesizes the research on professional identity formation across nine similar allied health disciplines. The purpose is to guide health professions educators in the formation of professional identity in allied health students. Approach: We carried out a systematic literature review, registered on Prospero, following the PRIMSA framework, to find, appraise, and synthesize research on professional identity for nine allied health professions. We synthesized extracted data using a narrative synthesis with convergent qualitative meta-integration of qualitative and quantitative data. Results: Our database searches combined with ancestry and forward searching resulted in 70 studies that met inclusion criteria. Studies came from 17 countries, from seven of the included disciplines (art therapy, dietetics, occupational therapy, physiotherapy, podiatry, psychology, and speech pathology) and from undergraduate, postgraduate, and new graduate perspectives. We found professional identity was influenced by the places of learning (curriculum and clinical experiences or placements), interactions with people (relationships with academics, peers, supervisors, patients,and role models), and educational practices engaged (dialogue, reflection, processing challenges), each acting on the individual person (student or new graduate) who also brought unique characteristics and experiences. Insights: This model of influences can inform health professions education to enable students to develop and graduate with a stronger professional identity formation. © 2023 Taylor & Francis Group, LLC.

Keywords

Author Keywords

Systematic literature review students professional identity formation Allied health new graduates

Index Keywords

adult human psychology medical education Humans Article curriculum Systematic Review Vocational education workforce dietetics speech health practitioner narrative Identity medical profession professional standard art therapy postgraduate student occupational therapy social identity Social Identification physiotherapy allied health student paramedical profession paramedical personnel Allied Health Personnel Professional Role
Author Affiliations
Humanities, Curtin University, Perth, WA, Australia, Edith Cowan University, Perth, WA, Australia
Humanities, Curtin University, Perth, WA, Australia
School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia
Funding & Acknowledgements
Australian Government
This work was supported by the Australian Government under a Research Training Program Scholarship. No financial interest or benefit to any of the authors has arisen from the direct applications of this research. The authors would like to acknowledge the contribution of an Australian Government Research Training Program Scholarship in supporting this research. We also acknowledge the support of specialist librarians from Curtin and Edith Cowan universities.
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