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From a patient perspective it is also crucial that the nurse anesthetists are not forced to overlook important control and checking routines, as de-scribed by Perry,20 who found that production pressure was a negative factor that affected patient safety.Variation and a reasonable amount of unpredictability in work was perceived as positive. Task performance con-tributed to self-esteem, and, in accordance with Alves’22 findings, greater expectations and responsibility provided positive stress. Less experienced nurse anesthetists per-ceived excitement and challenges as stressful, but at the same time they experienced them as positive for their well-being. These findings are contrary to those of Jones and Fitzpatrick,23 who found that a low score of SOP (in-dicating less scope) gave more stress and was a negative factor toward well-being. Appreciation and support from colleagues seemed to compensate for a lack of leadership in the operating room and for a lack of feedback from the patient. It was experienced as a major factor of well-being.Responsibility of anesthesia maintenance was especial-ly important for the experienced nurse anesthetist, and if it was questioned, it was perceived as a lack of trust. Such situations could be avoided when the profession-www.aana.com/aanajournalonline AANA Journal n August 2012 n Vol. 80, No. 4 n Special Research Edition S79als communicated with each other. Lack or deficiency of grounds for communication between professionals has been pointed out in other studies.4,6 These studies emphasized the importance of establishing common grounds for the reason that communication problems are often a consequence of relationship problems, and with improving relations the possibility for mutual com-munication will also be improved, which earlier also was emphasized by Øvretveit.19Briefing reports have been suggested by other research-ers as a good method in this context.4,6-8 Briefings could, for example, bridge the perceived gap between the expe-rienced nurse anesthetist and the theoretically skillful but less experienced anesthesiologist, and in that way create mutual trust and more pleasure in the work situation.This study has revealed that nurse anesthetists per-ceive that the main health-promoting factors are the be-haviors of close collaborators, especially their personality and collaborative skills. As mentioned in the introduc-tion, good team collaboration is extremely important for patient safety.4,6-9 In addition, it has implications for work satisfaction and the well-being of nurse anesthe-tists, as the current study has shown.This research is based on the experiences of a small group of nurse anesthetists.