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Appreciation gave self-confidence and motivation for further tasks. It also contributed to a good atmosphere in the operating room. Good patient out-comes were positive for the whole team and strengthened collaboration.“If I am able to administer anesthesia professionally [which means that the patient falls asleep and wakes up in an adequate way, is s- during the anesthesia mainte-nance, and] the patient feels well … at recovery—these are the things that tell me if I have managed to do a good job.”Some participants expressed that they perceived feed-back from the anesthesiologist as a good appreciation. According to them, the anesthesiologist could best evalu-ate how they were working. Support from colleagues was perceived as positive and worked as a special form of appreciation. It was also common to use a colleague as a mentor to ask for and get advice.• Clarity of Role. The third category is called Clarity of role, which was described with great discrepancy in the interviews depending on the work experience of the participants. Experience was described as a feeling of se-curity and the ability to cope with the different situations that may arise. There were, however, different views on the role to be subordinate and take orders. The different aspects of this category are described in 2 subcategories: Scope of practice and Direction.• Scope of Practice. The participants who were em-ployed in small units and had a long practical experi-ence felt a special relationship with the anesthesiologist. They were given more responsibility and believed that the anesthesiologist trusted them. Their competencies were appreciated and accepted as good enough to take care of the patients. It was expressed that to know each other was the basis for mutual trust. If the nurse anesthetists were less known to the anesthesiologist, trust was reduced dramatically. This was also the case when a new and insecure anesthesiologist tried to supervise without adequate knowledge and experience.Participants with more than 10 years’ experience described a special feeling of authority and self-confidence. Some of them described this feeling as creating an aura of trustfulness in relation to the anesthesiologists and in relation to the nurses in the operating room.“I think I dare because of my age; I have been practicing my profession for such a long time.… I just cannot stand there and let the patient suffer if I think I can do something.” Participants with less than 5 years’ experience de-scribed the opposite situation, in which they found it de-manding to cope with their own and others’ expectations, and they perceived the situation as stressful. With less ex-perience, they had more needs for assistance and support.S78 AANA Journal n August 2012 n Vol. 80, No. 4 n Special Research Edition www.aana.com/aanajournalonline• Direction.