Chapter 3: Professional Identity Within Changing Healthcare Roles: Exploring the Third or Hybrid Space¹

The ever-changing landscape of healthcare policy has impacted significantly on the development of nursing roles (Lloyd–Rees, 2016), and consequently seen the growth and transformation of existing professions and introduction of new healthcare roles. While the Emergency Nurse Practitioner (ENP) role is now well established within urgent care settings, it has evolved in an adhoc manner, responding to service demand. This has resulted in varying levels of job satisfaction and inconsistency in titles, uniform and scope of practice.

Using photographs or images to describe their perceptions of the role, experience and perceived professional identity, participants reported moving away from their traditional nursing practice into something different that bought new challenges and often conflict. Applying Bhabha's (1994) concept of the ‘third space’ to our findings suggests that ENPs have adopted a hybrid role that is operating within a ‘third (or hybrid) space’, where new identity is formed. Our participants' uncertainty around this (and that of others) could negatively impact the development of professional identity during transition into this new role.