... with the actual care pathway of a patient at a university hospital in Finland. Observational ethnography is combined with a narrative approach and activity‐theoretical ideas. Findings The study depicts the gap between the care pathway protocol and an actual care pathway. The actual care pathway, rather than...

... are shared or contested by participants. These can be “heard” through the different narratives which are constructed by those engaged in the evaluation process. Originality/value Attempts to identify what the critical questions were for those involved and provides a commentary on the experience. ©...