30 | Chapter 2 MAXQDA (11.0) was used to analyze data. The transcribed interview content was analyzed thematically. After three focus group interviews, two researchers (LK, EF) conducted a first analysis. They individually coded the data, underlined text fragments, and both created interpretive codes. Categories were identified for similar codes. The researchers then compared and discussed the categories until they fully agreed. Subsequently, categories were labeled, using the aspects of the JD-R model: job demands, job resources and personal resources. For example, the code: ‘working with other health care providers costs energy’, was labelled as ‘colleagues’ and identified as a Job Demand. Additional themes were added when labels did not match the themes. For example, ‘personal demands’ was added as a new theme. After focus group interviews four and five, the researchers coded, categorized and labelled data from the fourth and the fifth interview transcripts as previous interviews. In line with legal requirements in the Netherlands (www.ccmo.nl) medical ethical approval was not necessary. However, we asked all participants for written informed consent. Confidentiality was guaranteed with anonymous reporting of the data by numbering the interviews and participants. Raw data were saved securely at the University of Groningen. Written consent forms as well as the transcribed interviews are stored and available upon request. RESULTS The duration of the five focus group interviews ranged between 45 and 75 minutes. Fiftyone NQMs agreed to take part with 32 finally being able to participate in focus group interviews. One participant did not meet the inclusion criterion of being less than three years graduated. The data of this participant in the focus group interview were deleted from the transcripts before the analyses. In total, data of 31 female midwives were analysed, with a mean age of 26 years (range 23 – 44). All participants worked in primary midwifery care in the Netherlands. Five (16%) graduated from universities in Belgium and the remainder from academies in the Netherlands (84%, n=26). The majority of the participants worked as a locum midwife (71%, n=22) in different practices, eight midwives worked as an employed midwife (26%, n=8), and one participant was selfemployed as partner in a midwifery practice. Nearly half of the participants worked in an urban area (45%, n=14); the other half of the participants worked in a rural environment (39%, n=12) or in both an urban and a rural area (13%, n=4).
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