Table 4 Findings

Frustration and discontent due to organization and lack of time ^{(O, P5, P6, N1–3, N6, N8, N9)}

Conflicting values

Rigid organizational systems complicating nursing care at the expense of caring for patients

Being managed by economic values ^{(O, N1-N9)}

Documenting just to be surveilled ^{(O, N4, N6-N9)}

Invisible “time-thieves” ^{(O, N1–10)}

Trying to make ends meet

Organization that complicate the provision of care ^{(O, N1–4, N6, N8–10)}

Unsolvable time-puzzles ^{(O, N1–6, N8–10)}

Organization at the expense of patients ^{(O, P4, P6, P7, N1–4, N6, N8–10)}

Increased suffering related to care

Time pressure affecting relationships, caring, quality and compassion ^{(O, N1–6, N8–10)}

Experiences of busyness and stress ^{(O, P1–6 N1–6, N8–10)}

Meaningful relationships and conversations ^{(O, P1–8 N1–10)}

Understanding relationships as a fundament for nursing care

Having the patient’s health and wellbeing at heart

Being able to trust nurses causes feelings of safety and serenity ^{(P2–8, N1–10)}

Prioritizing conversations ^{(O, N1–8, N10)}

Nursing care tailored to unique and changing needs ^{(O, P1–4, P6–8, N1-N8, N10)}

The value of caring actions, which cannot be measured

Meaningful actions that cannot be fixed in decisions ^{(O, P2, P3, P5–8, N1–10)}

Focusing on the patient’s needs ^{(N1–6, N8–10)}

Nurses making autonomous choices based on professional judgement ^{(O, N1–9)}

Professional autonomy

Compensating for a flawed system

Juggling minutes ^{(O, N1–7, N10)}

Manipulating timers and decisions ^{(O, N1–4, N6–10)}

Patients adjusting their behavior to ease nurses job ^{(O, P1–5, P7, P8, N1–6, N8)}

Accepting and adjusting behavior

Nurses surrendering to the system ^{(N2, N3, N5–8)}

Grateful patients with few demands ^{(O, P1–8, N2, N3, N6)}