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Purpose

– The purpose of this paper is to share two researcher's experience about the challenges associated with shadowing within the health care context.

Design/methodology/approach

– Institutional ethnography and shadowing.

Findings

– Shadowing is increasingly being used as a data collection method, however, before proceeding to use this approach in today's health care environment, the researcher must give thoughtful consideration to the context.

Originality/value

– This paper provides a reflexive elaboration of the differences between the insider and outsider perspective when using the shadowing data collection method within health care organizations.

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