To have control over workload
There was time for the patients when the shift was fully staffed and the workload in the department not too heavy. Then they had control and could plan and organise their work. There was a sense of calmness and joy when responsibility was reasonable and time was sufficient. They experienced this as an opportunity to do a good job. ‟Fun! You can feel it, you are calm and secure… because I’m aware of my abilities.” (no. 4). The midwives experienced their work as a jigsaw puzzle with many pieces. Surrounding the pieces was a frame that held them together. The frame gave the midwives space to act but also set boundaries to their authority, where their freedom ended. The pieces of the jigsaw were memos, care plans and routines that created clarity, structure and security. Some pieces of the jigsaw concerned tasks such as documenting, scheduling and managing medication. ‟There is a framework, a really secure framework around us, the pieces of the jigsaw are in this frame. I know exactly, I put that particular piece into it, it fits.” (no. 1)