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BackgroundResearchers often stress the necessity and challenge of integrating the positionings of residents, family members and nurses in order to realize each actor's involvement in long‐term dementia care. Yet most studies approach user and family involvement separately.AimTo explain how productive involvement in care provision is accomplished in triadic relationships between residents, family members and nurses.MethodsAn ethnographic study of identity work, conducted between 2014 and 2016 in a Dutch nursing home.FindingsWe identify four ideal‐typical identity positionings performed by nurses through daily activities. The findings reveal how their identity positionings were inseparable from those of the residents and family members as they formed triads. Congruent, or ‘matching’, identity positionings set the stage for productive involvement. Our systematic analysis of participants' identity work shows how—through embedded rights and responsibilities—their positionings inherently shaped and formed the triadic types and degrees of involvement observed within these relationships.Discussion and conclusionThis study both unravels and juxtaposes the interrelatedness of, and differences between, the concepts of user and family involvement. Accordingly, our findings display how residents, family members and nurses—while continuously entangled in triadic relationships—can use their identity positionings to accomplish a variety of involvement activities. To mirror and optimize the implementation of user and family involvement, we propose a rights‐based and relational framework based on our findings.Patient or public contributionConversations with and observations of residents; feedback session with the Clients' Council.

In 2018 breekt de laatste fase van mijn etnografische studie en promotietraject aan: ik ga papers indienen en dan, als ik geluk heb, volgt het publicatieproces van Revise & Resubmits. Naast een nieuw inzicht in het bestudeerde fenomeen is de basiseis voor een publicatie dat je inzichtelijk maakt hoe je vanuit de empirie tot dat inzicht bent gekomen (Langley & Abdallah, 2011). Het is dus essentieel om methodologisch fit te zijn: wat is de beste methode om aan te tonen hoe ik het inzicht heb verworven dat ik in mijn paper presenteer?

Participation society is a popular image that is used in the discourse on person-centered care, which is currently dominant in most West European countries. It envisages a new approach to care. Policy reforms emphasize the engagement and voice of clients in their own care, rather than the medical authorative position of professionals, deciding what is best for patients (Berwick, 2009;

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