A communicating and distinct leadership
The midwives affirmed leadership that was present, visible, communicated and gave them feedback. This created a feeling of being in control and participation as well as a chance to influence their work. A leadership that was transparent and characterised by an allowing atmosphere while at the same time setting boundaries provided the midwives with freedom and space to work. The midwives were aware of the expectations placed on them and what they were expected to do. ‟…being acknowledged for something you did, you did this really well, not only when you are subject to a deviation report! It leads to something… confirmation… It also provides security, as it’s only natural to want confirmation all the time.” (no. 1). When management selected a team with a high level of knowledge and experience, the midwives could assume responsibility. The patients obtained the care they needed and medical safety was not at risk. The midwives felt secured when the leadership exhibited understanding for their situation and created the right prerequisites with regard to staffing, knowledge and experience. They felt respected and that their work was valuable. ‟I know who is safe to turn to when I need help...they are competent, knowledgeable, experienced and have the ability to communicate …” (no. 4)