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The use of special forces has increased rapidly due to terrorist threats, hybrid and irregular warfare. This has also resulted in an increased need for special and conventional forces to cooperate. Pirate attacks outside the horn of Africa and the bombing of USS Cole demonstrate how these asymmetrical threats also have an impact on the naval arena. The aim of this thesis is to understand how the six principles in McRaven’s special forces theory can explain the outcome of the rescue operation during the Maersk Alabama Hijacking in 2009, where DEVGRU (United States Navy Special Warfare Development Group) and conventional naval forces cooperated and managed to successfully liberate Captain Richard Philips. These findings will contribute to assess the critical prerequisites of success for special forces operations in the modern naval environment and evaluate if these operations can be explained by existing special forces theories. The result of this study shows that McRavens theory can explain the outcome of the rescue of Philips, were the principles of surprise, simplicity and security had large significance. The rescue operation also shows that cooperation between DEVGRU and the US navy vessels were essential for the operational success.

Bakgrund: Sjukvården är en miljö med förekomst av arbetsrelaterad stress. På en operationsavdelning är arbetet mycket intensivt och det bedrivs högspecialiserad vård. Syfte: Syftet med studien var att beskriva operationssjuksköterskors upplevelse av arbetsrelaterad stress. Metod: En empirisk kvalitativ studie genomfördes. Fyra strategiskt utvalda operationssjuksköterskor från två olika operationsavdelningar vid ett stort universitetssjukhus i Mellansverige deltog i studien. Ljudinspelade intervjuer genomfördes med hjälp av en semistrukturerad intervjuguide. En manifest innehållsanalys utfördes. Resultat: Tre huvudkategorier påträffades; färdigheter, arbetsmiljö och operationsplanering. Operationssjuksköterskorna beskrev att avsaknad av erfarenhet och kontroll var bidragande faktorer för upplevd arbetsrelaterad stress. Dålig kommunikation mellan kollegor och en operationsplanering som inte överensstämde med de resurser som fanns tillgängliga var också bidragande faktorer till uppkomst av arbetsrelaterad stress. Slutsatser: Resultatet visar att arbetsrelaterad stress är ett existerande problem inom operationssjukvården och bör utforskas vidare för att förbättra operationssjuksköterskornas arbetsvillkor och miljö. / Background: Health care is an environment with the presence of work-related stress. An operation department is very intense and it is carried on highly specialized care. Purpose: The purpose of this study was to describe operating room nurses' experience of work-related stress. Method: An empirical qualitative study was conducted. Four strategically selected operation room nurses from two different operation department at a large teaching hospital in central Sweden participated in the study. Recorded interviews were conducted with the help of a semi-structured interview guide. A manifest content analysis was performed. Results: Three main categories were found; skills, work environment and operation planning. Operating room nurses described the lack of experience and control as contributing factors to perceived work-related stress. Poor communication between colleagues and an operations scheduling, which was inconsistent with the resources that were available were also contributing factors to the incidence of work-related stress. Conclusions: The results tend to show that occupational stress is an existing problem in surgical care and should be further explored to improve the surgical nurses' working conditions and environment.