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Licensed Unlicensed Requires Authentication Published by De Gruyter September 12, 2019

“I am a healthcare practitioner”: A qualitative exploration of massage therapists’ professional identity

  • Amanda Baskwill EMAIL logo , Meredith Vanstone , Del Harnish and Kelly Dore



A division has been described among massage therapists, some who identify as healthcare providers while others identify as service providers. The perceived division creates confusion about what it means to be a massage therapist.


This qualitative study answered, “How do massage therapists in Ontario describe their professional identity?”


Qualitative description (QD) was used and data were collected from 33 massage therapists using semi-structured interviews.


The resulting description of massage therapists’ identity in Ontario is the first of its kind. The identity described includes passion as professional motivation in practice, the importance of confidence and competence, a focus on the therapeutic relationship, individualized care, and patient empowerment, and a desire to be recognized for their role within the healthcare system.


There is still much to be investigated about massage therapists’ identity. Future research will explore whether this description resonates with a larger sample of massage therapists in Ontario.

The authors wish to acknowledge the contributions of Anne Wong, MD, PhD, and Mitchell Levine, MD, MSc, as members of the primary author’s PhD committee, and Trish Dryden, MEd, RMT, whose comments during the writing process enhanced the results of this study.

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.


[1] Smith DM, Smith JM, Baxter D. The drive for legitimation of massage therapy in New Zealand. Int J Ther Massage Bodywork 2012;5:21–9.Search in Google Scholar

[2] Hart J. Analysis and adjustment of vertebral subluxation as a separate and distinct identity for the chiropractic profession: a commentary. J Chiropr Humanit 2016;23:46–52.10.1016/j.echu.2016.09.002Search in Google Scholar PubMed PubMed Central

[3] Kimura MN, Russell R, Scaringe J. Professional identity at Los Angeles college of chiropractic. J Chiropr Humanit 2016;23:61–7.10.1016/j.echu.2016.09.003Search in Google Scholar PubMed PubMed Central

[4] Fagermoen MS. Professional identity: values embedded in meaningful nursing practice. J Adv Nurs 1997;25:434–41.10.1046/j.1365-2648.1997.1997025434.xSearch in Google Scholar PubMed

[5] Ashby SE, Adler J, Herbert L. An exploratory international study into occupational therapy students’ perceptions of professional identity. Aust Occup Ther J 2016;63:233–43.10.1111/1440-1630.12271Search in Google Scholar PubMed

[6] Nicácio M, Heringer A, Schroeter M, Pereira A. Perception of nurse midwives regarding their professional identity: a descriptive study. Braz J Nurs 2016;15:205–14.Search in Google Scholar

[7] Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. A schematic representation of the professional identity formation and socialization of medical students and residents: a guide for medical educators. Acad Med 2015;90:718–25.10.1097/ACM.0000000000000700Search in Google Scholar PubMed

[8] Fitzgerald AM. The experience of professional identity development in graduating nursing students. Dissertations. 2016.Search in Google Scholar

[9] Thomson OP, Petty NJ, Moore AP. Osteopaths’ professional views, identities and conceptions – a qualitative grounded theory study. Int J Osteopath Med 2014;17:146–59.10.1016/j.ijosm.2013.12.002Search in Google Scholar

[10] Drolet MJ, Desormeaux-Moreau M. the values of occupational therapy: perceptions of occupational therapists in Quebec. Scand J Occup Ther 2016;23:272–85.10.3109/11038128.2015.1082623Search in Google Scholar PubMed

[11] Edwards H, Dirette D. The relationship between professional identity and burnout among occupational therapists. Occup Ther Health Care 2010;24:119–29.10.3109/07380570903329610Search in Google Scholar PubMed

[12] Butt H, Duffin J. Educating future physicians for Ontario and the physicians’ strike of 1986: the roots of Canadian competency-based medical education. CMAJ 2018;190:E196–E8.10.1503/cmaj.171043Search in Google Scholar PubMed PubMed Central

[13] Frank JR, Danoff D. The CanMEDS initiative: implementing an outcomes-based framework of physician competencies. Med Teach 2007;29:642–7.10.1080/01421590701746983Search in Google Scholar PubMed

[14] Watson Newman R. From direct patient care to clinical research: transitioning to an emerging nursing specialty. Ann Arbor, MI: The George Washington University, 2016.Search in Google Scholar

[15] Canadian Nurses Association. Canadian network of nursing specialties 2018. Available at: in Google Scholar

[16] Government of Ontario. Regulated health professions act, 1991. Ottawa, ON: Queen’s Press, 1991.Search in Google Scholar

[17] Kania-Richmond A, Findlay Reese B, Suter E, Verhoef M. The professional role of massage therapists in patient care in Canadian urban hospitals – a mixed methods study. BMC Complement Altern Med 2015;15:1–10.10.1186/s12906-015-0536-4Search in Google Scholar

[18] Baskwill A, Dore K. Exploring the awareness of research among registered massage therapists in Ontario. J Complement Integr Med 2015;13:41–9.10.1515/jcim-2015-0006Search in Google Scholar

[19] Dryden T, Moyer C. Massage therapy: integrating research and practice. Windsor, ON: Human Kinetics, 2012.10.5040/9781718210509Search in Google Scholar

[20] Neergaard MA, Olesen F, Andersen RS, Sondergaard J. Qualitative description – The poor cousin of health research? BMC Med Res Methodol 2009;9:52–7.10.1186/1471-2288-9-52Search in Google Scholar

[21] Sandelowski M. Whatever happened to qualitative description? Res Nurs Health 2000;23:334–40.10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-GSearch in Google Scholar

[22] Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Ment Health 2015;42:533–44.10.1007/s10488-013-0528-ySearch in Google Scholar

[23] Thompson C. If you could just provide me with a sample: examining sampling in qualitative and quantitative research papers. Evid Based Nurs 1999;2:68–70.10.1136/ebn.2.3.68Search in Google Scholar

[24] Morse JM. The significance of saturation. Qual Health Res 1995;5:147–9.10.1177/104973239500500201Search in Google Scholar

[25] Creswell JW. Qualitative inquiry and research design: choosing among five approaches, 3rd ed. Thousand Oaks, CA: SAGE Publications, 2012.Search in Google Scholar

[26] Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs 2008;62:107–15.10.1111/j.1365-2648.2007.04569.xSearch in Google Scholar

[27] Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. Nurs Health Sci 2013;15:398–405.10.1111/nhs.12048Search in Google Scholar

[28] Krefting L. Rigor in qualitative research: the assessment of trustworthiness. Am J Occup Ther 2001;45:214–22.10.5014/ajot.45.3.214Search in Google Scholar PubMed

[29] Canadian Massage Therapist Alliance. Medically necessary services & massage therapy. n.d. Available at: in Google Scholar

[30] Aagaard K, Sorensen EE, Rasmussen BS, Laursen BS. Identifying nurse anesthetists’ professional identity. J Perianesth Nurs 2017;32:619–30.10.1016/j.jopan.2016.08.006Search in Google Scholar PubMed

[31] Gitto L, Trimarchi E. When passion becomes a nightmare: the burnout syndrome in healthcare workers. Med J Clin Psych 2016;4:1–18.Search in Google Scholar

[32] Cook TH, Gilmer MJ, Bess CJ. Beginning students’ definitions of nursing: an inductive framework of professional identity. J Nurs Educ 2003;42:311–7.10.3928/0148-4834-20030701-08Search in Google Scholar PubMed

[33] College of Massage Therapists of Ontario. College of massage therapists of Ontario 2017 annual report 2018. Available at: in Google Scholar

[34] Brown RA. Spinal health: the backbone of chiropractic’s identity. J Chiropr Humanit 2016;23:22–8.10.1016/j.echu.2016.07.002Search in Google Scholar PubMed PubMed Central

[35] Evetts J. Professionalism: value and ideology. Curr Sociology 2013;61:778–96.10.1177/0011392113479316Search in Google Scholar

[36] Callaghan J. Professions and professionalisation. In: T Teo, editor. Encyclopedia of critical psychology. New York, NY: Springer Reference, 2014.Search in Google Scholar

[37] Wilensky HL. The professionalization of everyone? Am Sociol 1964;70:137–58.10.1086/223790Search in Google Scholar

[38] Suter E, Vanderheyden LC, Trojan LS, Verhoef MJ, Armitage GD. How important is research-based practice to chiropractors and massage therapists? J Manipulative Physiol Ther 2007;30:109–15.10.1016/j.jmpt.2006.12.013Search in Google Scholar PubMed

[39] Gowan-Moody DM, Leis AM, Abonyi S, Epstein M, Premkumar K. Research utilization and evidence-based practice among Saskatchewan massage therapists. J Complement Integr Med 2013;10:1–1010.1515/jcim-2012-0044Search in Google Scholar PubMed

[40] Ogden K, Barr J, Greenfield D. Determining requirements for patient-centred care: a participatory concept mapping study. BMC Health Serv Res 2017;17:780.10.1186/s12913-017-2741-ySearch in Google Scholar PubMed PubMed Central

[41] Luxford K, Gelb Safran D, Delbanco T. Promoting patient-centered care: a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience. Int J Qual Health Care 2011;23:510–5.10.1093/intqhc/mzr024Search in Google Scholar PubMed

[42] Fournier C, Reeves S. Professional status and interprofessional collaboration: a view of massage therapy. J Interprof Care 2012;26:71–2.10.3109/13561820.2011.606380Search in Google Scholar PubMed

Received: 2019-03-10
Accepted: 2019-06-24
Published Online: 2019-09-12

© 2019 Walter de Gruyter GmbH, Berlin/Boston

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