School of Psychology, The University of Sydney, Sydney, New South Wales, Australia.
School of Nursing and Midwifery, Monash University, Clayton, Victoria, Australia.
Med Educ. 2023 Jul;57(7):612-626. doi: 10.1111/medu.15082. Epub 2023 Mar 26.
Our professional identity refers to our sense of who we are and how we should behave as professionals. Professional identities are developed through socialisation processes: Established ways of knowing and doing are acquired and reproduced. The professional identities of health care professionals have implications for the realisation of health care reforms that require new ways of being and doing from clinicians. Tension and frustration can arise when professional identities are incongruent with reform directions. More knowledge is required about the professional identities of mental health care professionals-including clinical psychologists-so that they can be supported to develop professional identities that align with health care system reforms.
We undertook a scoping review of existing literature aiming to (i) identify the relevant literature; (ii) review the literature quality; (iii) thematically summarise the literature findings; (iv) consult with clinical psychologists; and (v) identify recommendations for research, training and practice.
A systematic database search (PsycINFO, CINAHL, Scopus and Web of Science) identified 24 relevant published articles and dissertations. Quantitative studies were excluded due to their markedly different research focus. Included studies were independently reviewed and findings summarised. Findings were organised around three themes: 'integration of personal and professional identities', 'intersectionality' and 'changes in professional identity over time'. Research quality issues were identified. The trustworthiness of the findings was corroborated in consultation with clinical psychologists.
Clinical psychologists recognise their professional identities as being interrelated with their personal identities and changing over time. They recognised professional identity as important yet inadequately considered in the profession. The research area is emerging yet remains undertheorised and requires improved research methodologies. Future theoretically informed research is required to build up a credible research base to better understand the development of clinical psychologists' professional identities so that this process can be facilitated to enable the realisation of health care reforms.
我们的专业身份指的是我们作为专业人士的自我认知和行为方式。专业身份是通过社会化过程发展起来的：既定的认知和行为方式被习得和传承。医疗保健专业人员的专业身份对实现需要临床医生采取新的行为方式的医疗改革具有重要意义。当专业身份与改革方向不一致时，可能会出现紧张和挫折感。需要更多关于心理健康保健专业人员（包括临床心理学家）的专业身份的知识，以便支持他们发展与医疗保健系统改革相一致的专业身份。
我们进行了一次现有文献的范围综述，旨在：（i）确定相关文献；（ii）审查文献质量；（iii）对文献发现进行主题总结；（iv）与临床心理学家进行咨询；（v）确定研究、培训和实践的建议。
系统的数据库搜索（PsycINFO、CINAHL、Scopus 和 Web of Science）确定了 24 篇相关的已发表文章和论文。由于研究重点明显不同，定量研究被排除在外。纳入的研究进行了独立审查，并对研究结果进行了总结。研究结果围绕三个主题组织：“个人和专业身份的融合”、“交叉性”和“专业身份随时间的变化”。确定了研究质量问题。与临床心理学家协商后，证实了研究结果的可信度。
临床心理学家认识到他们的专业身份与其个人身份相互关联，并随时间而变化。他们认为专业身份很重要，但在该专业中没有得到充分考虑。该研究领域正在出现，但仍缺乏理论依据，需要改进研究方法。未来需要进行理论上有依据的研究，以建立一个可信的研究基础，更好地了解临床心理学家专业身份的发展，从而促进这一过程，实现医疗改革。
