Background Learning in clinical settings occurs through engagement in everyday activities and interactions. Yet, clinical settings are complex, dynamic environments and data collection methods such as interviews and focus groups, although valuable, alone may not capture the complexities of these settings. Qualitative observational research offers an approach to understanding these complexities and enhancing learning in clinical settings.

Objective The aim of this paper is to support readers in undertaking qualitative observational research in workplace learning.

Methods We provide an overview of qualitative observational research, emphasising its relevance to investigating workplace learning. We delineate four key components to consider: the phenomenon of interest, roles of researchers and participants, ethical considerations and data collection approaches. An illustrative example from health professions education research is presented to demonstrate the application and outcomes of observational research.

Results Qualitative observational research allows for a nuanced understanding of real-world clinical activities and interactions, capturing elements of learning that are often missed by other methods. It offers a rich evidentiary base for both clinicians and researchers to appraise and improve practice. The example study illustrates how observational research can identify systemic issues affecting both learning and clinical practice.

Conclusion Qualitative observational research offers an important approach to understanding the complexities of clinical practice and workplace learning. We have shared some key considerations for the design and conduct of qualitative observational research in workplace learning.