Abstract  Background: The operating team consists of various professions that possess unique skills and knowledge that are needed for patient-safe care. The anesthesia nurse and anesthesiologist have an important role in the team, they need to work together and use their knowledge and skills to maintain patient safety. Work environment, sense of community, effective communication and hierarchical structures were considered to be the factors that had the greatest impact on this international collaboration. Aim: The purpose of the study is to investigate the anesthesia nurse's experience of collaboration with anesthesiologist in the intraoperative stage. Methods: The study was conducted as a qualitative interview study with semi-structured questions. The data collection took place in two operating departments in Stockholm, where 10 anesthesia nurses were interviewed. The analysis was carried out according to Lindgren et al. (2020) description for qualitative content analysis. Results: Four categories were identified. The categories were: Sense of security in the professional role facilitates with subcategories the importance of professional experience and feeling trust in collaboration. When cooperation fails with subcategories of not being listened to and lack of trust. The effect of interpersonal relationships with subcategories personal chemistry in collaboration and handling conflicts. The impact of clarity on the working process with subcategories clear dialogue facilitates and having a clear division of labor. Conclusions: The cooperation in the team is important as the intraoperative environment is complicated. The results shows that good communication, planning, trust and respect for each other’s professional competencies promotes teamwork and thereby increases patient safety.

Introduktion: I sammanhang som kräver komplexa lösningar skapas team för att tillgodose dessa komplexa behov. På en operationsavdelning består detta team av operation- och anestesisjuksköterskor och undersköterskor. Alla professioner behöver samspela för att kunna ge en god vård till patienten. Som ett hjälpmedel för teamen har ”avspark på sal” tagits i bruk, där teamet samlas på morgonen. Tidigare forskning visar på ett behov av en rutin som uppmuntrar till kommunikation i gruppen. Syfte: Syftet var att belysa hur arbetsmodellen ”avspark på sal” upplevs av operationanestesisjuksköterskor och undersköterskor inom operationsteam. Metod: En kvalitativ intervjustudie med en induktiv ansats. Studiens baseras på 15 ostrukturerade intervjuer med operation- anestesisjuksköterskor och undersköterskor. Materialet analyserades med en kvalitativ innehållsanalys. Resultat: ”Avspark på sal” upplevs bidra till en ökad samhörighet i teamet. Det skapas förutsättningar för ökad respekt och förståelse för varandra. Att ha information och kontroll inom teamet oavsett om det rör sig om förståelsen över professionsgränserna och veta vad som kommer hända ökar tryggheten inom teamet. Trots detta finns det svårigheter som påverkar ”avspark på sal” eller gör att det inte genomförs. Klinisk slutsats: Studiens resultat kan användas som utvärdering för vidare förbättringsarbete. Inblick kan öka förståelsen mellan medarbetarna. I liknande kontext eller andra sammanhang där teamarbete är en central del kan studiens resultat ligga till grund för införandet av likande rutiner. / Introduction: In contexts that require complex solutions teams are created to meet these complex needs. In an operation theatre this team is composed of operation- and anesthesia nurses and assistant nurses. All professions need to interact in order to provide quality care to the patient. As an aid to the teams a working model called “avspark på sal” put into use, where the team gathered in the morning. Previous research indicates a need for a routine that encourages communication in the group. Purpose/Aim: The aim was to illustrate how the working model “avspark på sal” is experienced by operation- and anesthesia nurses and assistant nurses in the surgical team. Method: A qualitative interview study with an inductive approach. The study is based on 15 unstructured interviews with operation- and anesthesia nurses and auxiliary nurses. The material was analyzed with a qualitative content analysis. Results: “Avspark på sal” is experienced to contribute to an increased affinity of the team. It creates the conditions for greater respect and understanding for each other. To have information and control within the team, whether it concerns the understanding of professional boundaries, to know what will happen to increase security within the team. Despite this, there are difficulties affecting “avspark på sal”. Clinical conclusions: The study results can be used as evaluation for further improvement. Insight can increase understanding between employees. In a similar context or other contexts where teamwork is central the study's results could provide the basis for the introduction of similar routine.