Sammanfattning
A new work procedure was suddenly introduced at a major university hospital in Denmark, which destroyed daily routines and workflows as patients were now expected to walk to surgery instead of being transported in a bed. This affected the work of the nurse anaesthetists, for example in relation to their time to prepare treatment before receiving the patient in the operating theatre, which caused great frustration and anger among the nurse anaesthetists. They experienced it as poor nursing care to receive a patient when they felt unprepared. Purpose: To investigate what it means for the nurse anaesthetist's care when work routines are changed with the introduction of new work procedures. Method: Focus group interviews were conducted in two groups with six nurse anaesthetists in each. The interviews were recorded and transcribed verbatim and analysed using an analytical method inspired by Riccoeur's interpretation theory. Results: In the structural analysis, four themes appeared: 1) When changes in work procedures become unworthy for patient and staff 2) Being ready for the patient 3) Over time, things calm down 4) Taking time to do a little extra for patient. Conclusion: It is important to involve the staff as an active participant in change processes in order to maintain a high level of nursing quality where dignity in care is preserved. Being prepared, knowing and being ready to receive the patient can provide peace and presence, which is part of the nurse anaesthetists' professional care and is of importance to their job satisfaction.