Identity, positionality and reflexivity: relevance and application to research paramedics
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This article introduces the reader to the concepts of identity, positionality and reflexivity and outlines their relevance to research paramedics. We outline how a researcher’s identity and positionality can influence all aspects of research, including the research question, study design, data collection and data analysis. We discuss that the ‘insider’ position of paramedics conducting research with other paramedics or within their specific clinical setting has considerable benefits to participant access, understanding of data and dissemination, while highlighting the difficulties of role duality and power dynamics. While positionality is concerned with the researcher clearly stating their assumptions relating to the research topic, the research design, context and process, as well as the research participants; reflexivity involves the researcher questioning their assumptions and finding strategies to address these. The researcher must reflect upon the way the research is carried out and explain to the reader how they moved through the research processes to reach certain conclusions, with the aim of producing a trustworthy and honest account of the research. Throughout this article, we provide examples of how these concepts have been considered and applied by a research paramedic while conducting their PhD research studies within a pre-hospital setting, to illustrate how they can be applied practically.
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Researcher positionality is a way to safeguard against any partiality that can be questioned at the conclusion of a study.
“Researcher positionality is a way to safeguard against any partiality that can be questioned at the conclusion of a study (Wilson et al., 2022).”
From Researcher Positionality: Ways to Include it in a Qualitative Research Design (2025) · cites this paper as Wilson et al., 2022
The Positionality section (‘Definition and relevance to research’; page not provided) says that stating positionality lets readers assess how a researcher’s identity affected the research process and results. The Reflexivity section (‘Purpose and process’; page not provided) says that questioning assumptions throughout a study helps produce a trustworthy account. Neither says positionality safeguards against any partiality or that concerns arise only at the study’s conclusion. (LLM, conf=0.84)
Experimental — accuracy not yet measuredDeclaring the relationship between the researcher(s) and the chosen topic helps the audience understand the true nature of the researcher's positionality.
“The relationship between the researcher(s) and the chosen topic is declared which helps the audience understand the true nature of the researcher ' s positionality (McMullin, 2023; Wilson et al., 2022; Yip, 2024).”
From Researcher Positionality: Ways to Include it in a Qualitative Research Design (2025) · cites this paper as Wilson et al., 2022
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What is positionality and should it be expressed in quantitative studies?
Jafar, A. J. N. (2018) · Emergency Medicine Journal · doi:10.1136/emermed-2017-207158 · Cited by 81 · cited 1× · see citing works
“Jafar (2018) argues that all researchers direct their research based on countless factors and that leaving out the positionality of the research team and context deprives the reader of the opportunity to determine how important these factors might be.”
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Researcher Positionality: Ways to Include it in a Qualitative Research Design
Goundar, P. R. (2025) · International Journal of Qualitative Methods · doi:10.1177/16094069251321251 · Cited by 88 · see citing works
“Another point to consider when demonstrating balance of power in the researcher ’ s positionality is to re fl ect how one ’ s environment impacts the study (Dhillon & Thomas, 2019; Wilson et al., 2022).”
InfluentialFrom Noise to Nuance: Enriching Subjective Data Annotation through Qualitative Analysis
Wan, R., Wang, H., Huang, T.-H. K., & Gao, J. (2025) · Proceedings of the Fourth Workshop on Bridging Human-Computer Interaction and Natural Language Processing (HCI+NLP) · doi:10.18653/v1/2025.hcinlp-1.20
- Authors
- Wilson, C., Janes, G., & Williams, J.
- Affiliations
- University of Leeds (GB)
- Manchester Metropolitan University (GB)
- University of Hertfordshire (GB)
- Corresponding author
- Wilson, Caitlin
- Venue
- British Paramedic Journal
- Publisher
- Class Publishing
- Published
- 2022-09-01
- Volume
- 7
- Issue
- 2
- Pages
- 43-49
- ISSN
- 1478-4726 (ISSN-L)
- PMC
- PMC9662153
- OpenAlex
- W4293770179
- Cited by
- 132
- References
- 1
- Citations by year
- 2026: 36 · 2025: 49 · 2024: 29 · 2023: 18
- FWCI
- 34.54
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- British Paramedic Journal (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- University of Hertfordshire Research Archive (University of Hertfordshire) (acceptedVersion)
- e-space (Manchester Metropolitan University) (acceptedVersion)
- Figshare (submittedVersion, cc-by-nc-nd)
- amber - ambulance research repository (submittedVersion)
- Funders
- Manchester Metropolitan University
- National Institute for Health and Care Research (NIHR-INF-0748)
- Topics
- Social Sciences › Sociology and Political Science › Qualitative Research Methods and Ethics
- Social Sciences › Education › Qualitative Research Methods and Applications
- Social Sciences › Education › Qualitative research in health
- Keywords
- researcher identity, researcher positionality, reflexivity, paramedic research, insider research, role duality, power relations, prehospital care, research assumptions
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