Fel i operationssalen kan få stora konsekvenser. Enligt både WHO och Socialstyrelsen är kommunikation och koordination den främsta orsaken till vårdskador inom sjukvården. Operationsavdelningen är den plats inom sjukvården där flest vårdskador händer och de beror ofta på dåligt samarbete i operationslaget. Studier har visat att störst skillnad i uppfattning om effektivt samarbete finns hos operationssjuksköterskor och kirurger. Operationssjuksköterskor beskriver gott samarbete som när deras arbetsinsats respekteras medan ett gott samarbete för kirurger kännetecknas av att ha operationssjuksköterskor som förutser deras behov och följer instruktioner. Syftet med denna studie var att undersöka operationssjuksköterskors och kirurgers uppfattning om samarbete i operationslaget. Det är en deskriptiv kvantitativ studie baserad på datainsamlande genom frågeformulär. Urvalet bestod av 25 operationssjuksköterskor och 42 kirurger. Den mest påtagliga skillnaden i uppfattning om samarbete mellan operationssjuksköterskor och kirurger visade sig i frågan om det är läkaren som ansvarar för samordningen. De ansvariga måste bli medvetna om och komma till rätta med de skillnader i uppfattning om samarbete som finns mellan kirurger och operationssjuksköterskor för att WHO:s checklista och andra interventioner för ökad patientsäkerhet ska kunna få önskad effekt. / Errors in the operating room (OR) may have major consequences. According to the Swedish National Board of Health and Welfare and WHO, communication and coordination are the most common cause of harm to patients. Studies in the US have shown that the OR is the most common site in hospitals for adverse events to occur. Differences in perceptions of teamwork exist in the OR, with physicians rating the teamwork with others as good, and at the same time, nurses perceive teamwork as poor. Nurses often describe good collaboration as having their work respected, and physicians often describe god collaboration as having nurses who anticipate their needs and follow instructions. The aim of this study was to investigate Swedish nurses’ and physicians’ perception of teamwork. Operating room personnel, 25 nurses and 42 physicians where surveyed using a questionnaire. The most substantial difference where shown in the perception of who should be in charge of the team. To increase the likelihood of success when implementing the World Health Organization’s Surgical Safety Checklist, leaders should anticipate that differences in perception between members of different professions must be overcome if teamwork is to be improved.

The purpose of this project was to evaluate the effects of relationship-based care (RBC) on patient satisfaction. RBC is a caring model that promotes a caring and healing environment by establishing and maintaining therapeutic relationships between patient, self, and coworker. The Centers for Medicare & Medicaid Services links Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores with reimbursement to hospitals. It is essential to not only achieve high patient satisfaction scores in order to ensure full financial reimbursement, but also to ensure high quality, patient-centered care. The current project assessed samples from 2 medical surgical groups, one system-wide and the other only patients from a single inpatient unit with sample sizes approximately 2,900 and 250 respectively. Data were collected retrospectively 3 times using the Press Ganey webpage at pre implementation, 6 months, and 12 months post RBC training. Results from an ANOVA indicated only a slight increase in post intervention HCAHPS scores with no statistical significant improvement. However, this increase indicates a positive trend, suggesting that the implementation of RBC may have assisted in improving patient responses. This evaluation has implications for the continued implementation for the enhancement of patient-centered care. These findings suggest that a nursing care model provides a collective belief to define a specific attitude to deliver care, facilitate professional development, and improve outcomes. By following RBC, nurses share a similar philosophy toward a caring environment.