This article reflects on how an ethnographer’s approach to field entry, the topic of study, her use of ethnographic methods and contextual factors shaped research participants’ perception of her multiple identities in a Ghanaian hospital environment. Her perceived multiple identities influenced trust and distrust relations between her and her research participants, which impacted on the research project. The article discusses the paradox of the researcher’s negotiation of her multiple identities of ‘insider’ and ‘outsider’ and its influence on the process of data collection, understanding and analysis of the study topic. The article argues that research projects give birth to the ethnographer. Obviously, the observations of the ethnographer, who is the main research instrument, of her own position, are an important source for data collection. Participation and positioning in organizational activities can provide the ethnographer with a personal experience of her study topic and data that enhances understanding of organizational processes.