"You call it a structure taboo!" Relating consultant experiences to changing dynamics in healthcare

Purpose: The purpose of this paper is to provide a comprehensive reflective perspective on the effects of an intervention in a healthcare organization, as experienced by a consultant. What does a consultant experience when things flounder? 

Design/methodology/approach: This paper applies a complex responsive process approach as a research perspective and autoethnography as a method to better understand the tensions of a consultant in interacting with members of a client-system. 

Findings: Focusing on the experiences of the first author during his work as a consultant in a healthcare institution. This approach contributes to the literature by providing a witness, rather than an aboutness, perspective on the experiences of a consultant during a completely unexpected event. 

Research limitations/implications: This paper is limited by looking at one case in the public sector. It should be considered as exploratory research. 

Originality/value: The paper can be of value to consultants who are working as a facilitator, as well as to management scholars and practitioners in the field of change management.