Bakgrund: I den fysiska vårdmiljön framkom olika förutsättningar för att skapa god omvårdnad då grundläggande mänskliga värderingarna var av betydelse för hur begreppen hälsa och omvårdnad tolkades. De traditionella vårdmiljöerna kunde uppfattas som anonyma och sterila platser av både sjukvårdspersonal och patienter, dessa egenskaper representerar hur fysiskt påtaglig sjukvårdsmiljön var. Syfte: Syftet med denna litteraturöversikt var att beskriva hur patienter inom somatisk vård upplever den fysiska vårdmiljön på sjukhus. Metod: En litteraturöversikt baserad på tio vetenskapliga artiklar med både kvalitativ och kvantitativ ansats. Resultat: Tre huvudteman framkom vid analysen av artiklarna; sjukhusmiljö, vårdavdelningsmiljö och vårdsalsmiljö. När sjuksköterskan skapade en välkomnande atmosfär i vårdmiljön hade det betydelse för hur patienten upplevde hälsa oh välbefinnande, och detta förstärktes när patienten kunde påverka och inspirera miljön. När patienten kunde påverka tillgängligheten i vårdmiljön ökade användbarheten och patientens integritet. Slutsats: Sjuksköterskans bemötande och kommunikation hade en avgörande betydelse för hur patienten uppfattade och upplevde den fysiska sjukvårdsmiljön. / Background: There were different circumstances in the physical healthcare environment to create good care based on human values these were relevant concepts of how health and nursing care were interpreted. The traditional care environments were perceived as sterile andanonymous places of healthcare professionals and patients, these characteristics represented how crucial the physical care environments were. Aim: The aim of this literature review was to describe how patients in somatic care perceive the physical health care environment in hospitals. Method: A literature review based on ten scientific articles with both qualitative and quantitative approach. Result: Three main themes emerged from the results of analysis of the articles, hospital- ward- and patient rooms’ environment. Welcoming atmospheres created by the nurse were important in the patient experience of health and wellbeing. When the patients were able to influence and inspire the environment the wellbeing increased. When the patient affected the accessibility of the environment the usability and the privacy increased. Conclusion: Nurses' attitude and communication had an important impact on how the patient's perceived and experienced the physical health care environment.

Bakgrund: Vårdmiljön på sjukhus har traditionellt utformats av arkitekter. Fokus på patienten har skiftat från subjekt till objekt, för att åter gå mot en syn som subjekt. Intresset för utformning av vårdmiljön har de senaste åren ökat. Problem: Patienterna inneliggande på sjukhus befinner sig i en utsatt situation. Sjuksköterskor på sjukhus har lite kunskap om hur vårdmiljön påverkar patienterna vilket behövs för att kunna arbeta efter ett personcentrerat perspektiv. Syfte: Att beskriva vårdmiljön på sjukhus så som den upplevs av patienter som vårdats inneliggande. Metod: En litteraturstudie med sammanställning av kvalitativa studier. Resultat: I resultatet framkom två teman och fem subteman. Första temat upplevelse av vårdmiljöns betydelse för integritet och värdighet, med subtema en miljö som delas med andra och att vara i en miljö som gör patienten utsatt och i beroende till vårdpersonal. Andra temat upplevelser av vårdmiljöns betydelse för trygghet och gemenskap med subtema att kunna dela erfarenheter med andra, fysiska aspekter som kan skapa en lugn och trygg atmosfär och att vara i trygga händer. Slutsats: Både den fysiska och psykosociala vårdmiljön har betydelse för patienternas upplevelse. För att uppnå en optimal vårdmiljö och en personcentrerad omvårdnad är det viktigt att se till patienternas individuella behov. / Background: The health facility environment has traditionally been design by architects. The approach to the patient has switched from a subject to an object, to once again look upon the patient as a subject. Designing and creating new types of health facility environments is an interest that has increased. Problem: Understanding how patients are effected by the health facility environment is necessary for nurses to be able to care for patients in a person-centered way and create conditions for a good health facility environment. Aim: To describe the health facility environment as it is experienced by patients admitted to a hospital ward. Method: A literature review with a compilation of qualitative studies. Results: Findings where categorized in two themes and five subthemes.  The first theme “Experiences of health facility environment and its importance for integrity and dignity”, describes sharing the environment with others and how the environment affect the patient to feeling exposed and addicted to the nursing staff.  The second theme “Experiences of health facility environment and its importance for security and fellowship”, describes how the patient is able to share experiences with others, physical aspects which can create calm and safe atmosphere and to feel safe in the hands of other people. Conclusion: Both the physical and psychosocial health facility environment has importance for the experiences of the patients. Respecting the patients individual needs were important to achieve person- centered nursing care and an optimal health facility environment.

The purpose of the study was to investigate how inventories of suspected polluted areas as a part of the planned control of existing companies cab be designed in order to achieve as great effect as possible. The study was conducted in cooperation with Piteå municipality. An analysis of regional inventory projects, local municipal strategies and a pilot study in Piteå was conducted. The experience from both the regional projects and the pilot study was that in order to achieve an effective control a number of factors were inportant: an efficient selection of companies, a good dialogue between the controlling agency and the companies, sufficient resources, education of municipal inspectors and guidance for decisionmaking. Another inportant result was that the municipal planning can prevent an efficient inventory if the control of city development projects is allowed to take time from the planned control. The conclusion was that the unit for health an environmental care in Piteå municipality should try to achieve these factors in their work and start a cooperation with the municipal planners in order to create an efficient organization for treating polluted areas. Suggested future studies was to investigate how the planning process and the work of the municipal controlling agency can be synchronized in order to achieve a common goal.

A deficient safety culture has been implicated in a number of organisational accidents from a range of high hazard industries. Despite its implications for safety, many questions about safety culture remain unanswered. In order to contribute to the literature on this topic, this thesis set out to investigate the role of trust in safety culture. The oil and gas industry was chosen as the context for study due to the hazardous nature of its work, the industry’s focus on continuous improvement in safety performance and the interest shown by oil companies in participating in safety research. Leading models of safety culture have stressed the importance of trust in developing and maintaining patterns of safe behaviours at work. This thesis proposed a new model of safety culture based on dual attitudes about trust. This model states that explicit attitudes about trust are part of safety climate and that implicit attitudes about trust comprise some of the basic underlying assumptions that are the deepest level of safety culture. In order to test this model, this thesis developed a method to measure implicit attitudes about trust in an industrial setting. Using this method, two studies of dual attitudes about trust were conducted at different UK gas plants. In both of these studies, different patterns of results were found for measures of explicit and implicit attitudes about trust for workmates, supervisors and the plant leadership, respectively. These findings support the proposed model suggest that explicit and implicit attitudes about trust are separate constructs that may influence different types of safety behaviours.  Positive relationships were found between measures of explicit attitudes about trust and self-report items about safety behaviours like reporting incidents and challenging unsafe acts.  These findings were taken as a step toward validating the proposed model.

Diss. (sammanfattning) Umeå : Univ., 2005. / Härtill 4 uppsatser.

Source: Dissertation Abstracts International, Volume: 57-08, Section: B, page: 5173. Advisor: Lawrence W. Whitehead. Includes bibliographical references.

BACKGROUND. The benefits of physical activity for physical and mental health and well-being are well evidenced. Despite this, a substantial proportion of the adult population in England do not meet current recommended guidelines for physical activity leading to a significant burden on individuals, health services and the economy. Strategies are needed which lead to sustainable increases in physical activity at the population level. Walking is a free and accessible behaviour which is acceptable to most people and can be incorporated into everyday activities. Walking for transport is a type of walking which is undertaken specifically to travel from one point to another to reach a destination. Gaining an understanding of behavioural and contextual influences on walking for transport is important to facilitate specificity in designing effective interventions. Evaluating both the implementation and effectiveness of interventions to promote walking for transport in real-world settings may help to improve interventions and determine how they can be implemented at scale to impact population levels of physical activity. The research in this thesis aimed to contribute to the evidence base relating to understanding the factors influencing and the promotion of walking for transport in adults to address the problem of how to increase population levels of physical activity to improve health and well-being. Eight research articles are presented which used data collected as part of three research projects: Impact of Constructing Non-motorised Networks and Evaluating Changes in Travel (iConnect), Walking Works and Fitter for Walking. RESULTS. The Transport and Physical Activity Questionnaire (TPAQ) was developed and its measurement properties for assessing different domains of physical activity were tested. It was found to be suitable for use in comprehensively assessing transport and physical activity behaviour with comparable reliability and validity to other similar measures. A new 13-item scale was developed to assess adults perceptions of the environment in the neighbourhood (PENS) in the UK context. This was found to have comparable reliability to other similar scales. Using PENS and TPAQ, walking for transport was found to be positively associated with perceptions of supportive infrastructure, availability of local amenities, and general environment quality in the residential neighbourhood. Walking to and from work was found to be positively associated with the perceived presence of convenient walking routes, suitable pavements, maintained pavements or convenient public transport in the workplace neighbourhood. Walking to and from work was also positively associated with employees who were aged < 30 years, did not have a car, had no free car parking at work, were confident of including some walking or intended to walk to or from work on a regular basis, and had support from colleagues for walking. It was negatively associated with employees perceptions that they lived too far away from work to walk, walking was less convenient than using a car for commuting, they did not have time to walk, they needed a car for work, or they had always travelled the same way. In a community-based intervention to promote walking for transport, a wide variety of small-scale environmental changes were made which were led by local authorities (e.g. removal of encroaching vegetation, new/improved pedestrian signage, new dropped kerbs/kerb improvements, and new, repaired or improved footpaths) or by communities (e.g. planting bulbs, shrubs or bedding plants, clean-up days and litter pick-ups). Additional activities were undertaken to help increase awareness of the benefits of walking and promote the newly improved routes (e.g. led walks, themed walks, development of maps/resources and community events). After 12 months, there was a decrease in pedestrian route use overall and in four out of the five case studies where data collection took place. However, after 14-20 months there was an increase in pedestrian route use overall and in all case studies. Participants in the intervention perceived the main impacts to be improved physical and social environments. Implementing the intervention was found to be complex and required considerable resource and time. Processes required for implementation of the intervention were identified which included planning, preparation and delivery phases. Adaptability of the intervention to fit the local context was highlighted as being critical for successful programme delivery. In a whole-workplace walking to work intervention, no changes in walking behaviour were observed which may have resulted from barriers in using volunteer employee walking champions to deliver activities, the programme components not being delivered as originally intended, the types of activities which were delivered, and lack of awareness and participation by employees. CONCLUSIONS. A range of factors operating at different levels which influence walking for transport behaviour in adults were identified, confirming the need for specificity in studying both the behaviour and the contexts in which the behaviour is undertaken. Evidence is provided of the barriers and facilitators for implementing community-based and workplace interventions which aim to promote the behaviour. These should be addressed to maximise the effectiveness of interventions. Researchers, practitioners and policy-makers should take these research findings into consideration in the future design, planning and implementation of co-produced, multi-level interventions which aim to promote walking for transport. Future research should identify causal factors influencing walking for transport, improve intervention content and optimise intervention implementation. Researchers should address methodological limitations of work in this area, including the application of more rigorous study designs and the use of more reliable and valid measures of walking for transport and overall physical activity. Together this will maximise the potential impact of walking for transport interventions for promoting physical activity and improving health and well-being at the population level.

Orientador: Sergio Resende Carvalho / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-10T20:50:14Z (GMT). No. of bitstreams: 1 Pessatti_MirelaPilon_M.pdf: 1608396 bytes, checksum: 2a72ca5d56f67076013392918fff5f43 (MD5) Previous issue date: 2008 / Resumo: Este trabalho investiga a intercessão arquitetura e saúde destacando alguns modos como vem ocorrendo a produção do espaço físico nas instituições de saúde. Inicia com uma breve revisão da arquitetura e urbanismo, realçando dois movimentos importantes que influenciaram a formação dos arquitetos nas ultimas décadas, o Movimento Modernista e o Movimento Situacionista, trazendo de forma sucinta como esses movimentos tangenciaram a temática da saúde. Faz uma síntese dos discursos e tendências de alguns autores brasileiros sobre o tema da arquitetura e saúde no Brasil, destacando que determinados modos de tratar e compreender a produção do espaço físico na saúde, assim como seus arranjos, possibilita dar visibilidade à relação desses pensamentos a própria compreensão do processo saúde-doença e aos modos de administração e gestão de que mais se aproximam. Descreve o processo de constituição das normas que regulamentam os Estabelecimentos de Assistência à Saúde, fazendo uma análise sobre os riscos do engessamento e da burocratização que as normas podem gerar e também aponta possibilidades para se lidar com a perspectiva restritiva e normativa da Vigilância Sanitária para além do "agir segundo regras". Relata a discussão do espaço físico numa política pública de saúde específica, a Política Nacional de Humanização no Ministério da Saúde, com uma nova proposta de conceito para a "ambiência" na saúde e modo de co-produção do espaço, com inclusão dos sujeitos trabalhadores, gestores e usuários no processo. Discute possibilidades para um método de co-produção do espaço e suas variações como potência e dispositivo que pode contribuir nas mudanças proposta para a gestão e atenção nas instituições de saúde, usando como material para problematização algumas cenas que são contadas inspiradas em memórias de vivências cotidianas. Conclui apontando alguns desafios e possibilidades para estudos futuros apostando na potência da composição dos saberes na intercessão arquitetura e saúde para a produção do espaço físico na saúde, e na inseparabilidade entre a produção do espaço, a produção de saúde e a produção de subjetividade. Na produção de um espaço que não é dado, estático, morto. E sim, um espaço que se habita, se experimenta e que se produz, onde tem processo de trabalho, encontros entre as pessoas e modos de se viver e conviver nesse espaço / Abstract: This research investigates the architecture-health intercession highlighting some ways the production of the physical space has been occurring in the health institutions. It starts with a brief review of the architecture and urbanism emphasizing two important movements that influenced the formation of architects in the last few decades: the ¿Modernist Movement¿ and the ¿Situational Movement¿ and how these movements influenced the subject of health. It makes a synthesis of the speeches and trends of the authors on the subject of the architecture and health in Brazil, showing that we determine ways to treat and to understand the production of the physical space in the health, as well as its arrangements. It makes possible to give visibility to the relation of these thoughts the proper understanding of the health-illness process and to the ways of administration and management to which they come closest. It describes the process of constitution of the norms that regulate the Health Assistance Establishments, analyzing the risks of bureaucracy that the norms can generate. It also points out possibilities to deal with the restrictive and normative perspective of the Sanitary Monitoring beyond ¿acting according to rules¿. It reports the discussion about the physical space in a public policy of specific health, the National Humanization Policy in the Ministry of Health, with a new proposal of concept for the health ambience, and for the way of co-production of the space with inclusion of the workers, managers and users in the process. It points out possibilities of a method for co-production of the space and its variations as the power and a device that contribute to the changes of the health institutions, using as material for reflection some scenes that were clipped from the daily experience of the author regarding the work of health teams. It concludes by indicating some challenges and possibilities with respect to future studies believing in the power of the knowledge composition in the architecture-health intersection for the production of the physical space in the health, and in the inseparability involving the space production, health production and the production of subjectivity in the production of a space that is not given, static and dead, but a space that is inhabited, where people get experience and produce, where there is a process of work, where people meet, interact and share ways of living and coexisting in this space / Mestrado / Saude Coletiva / Mestre em Saude Coletiva

Orientador: Edineis de Brito Guirardello / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-12T06:51:34Z (GMT). No. of bitstreams: 1 Gasparino_RenataCristina_M.pdf: 3151695 bytes, checksum: aa41cf80c6b9d81e7b23176333f73544 (MD5) Previous issue date: 2008 / Resumo: A prática profissional do enfermeiro é definida como um sistema que o apóia no controle sobre o cuidado prestado ao paciente e sobre o ambiente no qual esse cuidado é oferecido. As principais características de ambientes de trabalho que favorecem essa prática profissional são a autonomia, o controle sobre o ambiente e a relação colaborativa entre médicos e enfermeiros. A presença desses atributos no ambiente de trabalho contribuem para obtenção de resultados positivos para os enfermeiros: maior satisfação profissional e menor nível de exaustão emocional - "burnout"; para os pacientes: menor taxa de mortalidade e maior nível de satisfação com os cuidados recebidos e para a instituição: menores taxas de absenteísmo e rotatividade. O "Nursing Work Index - Revised" (NWI - R), é um instrumento que foi desenvolvido para avaliar a presença desses atributos no ambiente de trabalho do enfermeiro, porém não está disponível na cultura brasileira. O presente estudo teve como objetivo realizar a adaptação cultural do NWI - R e validação das suas subescalas, para a cultura brasileira. É um instrumento composto por 57 itens, dentre os quais 15 foram agrupados para derivar quatro subescalas: autonomia, controle sobre o ambiente, relações entre enfermeiros e médicos e suporte organizacional, que têm resultado em alta consistência interna. Para o procedimento metodológico de adaptação foram seguidas as etapas de: a) tradução; b) retrotradução; c) avaliação das equivalências semântica, idiomática, cultural e conceitual por um grupo de seis juízes que sugeriram alterações na maioria dos itens a fim de assegurar essas equivalências e d) pré-teste com 46 sujeitos. Participaram do estudo 278 enfermeiros de três instituições públicas. A validade das subescalas do NWI - R - Versão Brasileira foi avaliada por meio da validade relacionada com critério concorrente, em que as médias dos escores das subescalas foram comparadas com a variável satisfação com o trabalho e percepção da qualidade do cuidado oferecida ao paciente e correlacionadas com a variável intenção em deixar o emprego no próximo ano e pela validade de construto divergente, em que as médias dos itens das subescalas foram correlacionadas com as médias das subescalas do Inventário de "Burnout" de Maslach. Obtiveram-se correlações significantes tanto para a validade relacionada com critério como para a validade de construto. A confiabilidade foi avaliada por meio do coeficiente alfa de Cronbach e resultou em uma consistência interna satisfatória para os 57 itens do instrumento (a:0,95) e para as subescalas autonomia (a:0,63), controle sobre o ambiente (a:0,75), relações entre médicos e enfermeiros (a:0,75) e suporte organizacional (a:0,75). Conclui-se que o processo de adaptação do NWI - R foi realizado com sucesso e a validade e confiabilidade das subescalas foram consideradas satisfatórias, demonstrando a viabilidade da utilização das mesmas para o desenvolvimento de novas pesquisas, na cultura brasileira. / Abstract: The professional practice of a nurse is defined as a system that supports nurse controle over the delivery of nursing care and the environment in which care is delivered. The characteristics of work environment that enhance this professional practice are: autonomy, control over the work environment and relationships with physicians. The presence of these attributes in the work environment may break out positive results to nurses (higher nurse satisfaction and lower emotional exhaustion level - burnout); for patients (decreased mortality and higher patient satisfaction regarding received care) and for institutions (lower rate of absenteeism and turnover). The Nursing Work Index - Revised (NWI - R) was developed to measure these attributes of the nurse's work setting, however they are not available in brazilian culture. This study had the objective to do the cultural adaptation of the NWI - R and validate the subscales. The instrument contains 57 items and 15 were used to develop four subescales: autonomy, control over the work environment, relationships with physicians and organizational support, showing results of high internal consistence. For the methodological procedure of adaptation, the followed stages were: a) translation; b) back translation; c) the valuation of semantic, idiomatic, cultural and conceptual equivalences, which was made by a group of six judges who suggested alterations in most of the items in order to assure these the equivalences and d) pre-test with 46 persons. The sample was comprised of 278 nurses of three public institutions. The validity of the subescales NWI - R - Brazilian Version was evaluated by the validity regarding criterion, where the means of the subescales were correlated with the variables job satisfaction, perception of care quality offered to patients and the intention of leave the job in the following year and validity of divergent construct, where the subscales means were correlated with Inventory Burnout of Maslach subescales averages. Significant correlations were obtained, no only for validity regarding concurrent criterion but also for validity type construct. The reliability was evaluated by used the alpha coefficient of Cronbach showing results of satisfactory internal consistence for the 57 itens of the instrument items (a:0.95) and for the autonomy subscales (a:0.63), control over the work environment (a:0.75), relationships between physicians and nurses (a:0.75) and organizational support (a:0.75). The conclusion is that the NWI - R process of adaptation was accomplished with success and its validty and reliability of subescales were considered satisfactory , showing the viability of the instrument subescales use for the development of new researches in brazilian culture. / Mestrado / Enfermagem e Trabalho / Mestre em Enfermagem

Orientador: Edinêis de Brito Guirardello / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-21T01:19:00Z (GMT). No. of bitstreams: 1 Panunto_MarciaRaquel_M.pdf: 3096396 bytes, checksum: fdd7fac3d0558706a54c1a3d9f754a36 (MD5) Previous issue date: 2012 / Resumo: A equipe de enfermagem tem enfrentado diversos desafios na assistência, entre eles o de garantir a qualidade e segurança do cuidado em um ambiente de trabalho que nem sempre oferece condições favoráveis para sua prática profissional. Instituições de saúde que oferecem para a equipe de enfermagem autonomia, controle sobre o ambiente de trabalho e colaboração entre médicos e equipe de enfermagem são reconhecidas como ambientes positivos para a prática, tendo como resultado um ambiente seguro e um cuidado de qualidade para o paciente. No entanto, no Brasil poucos estudos têm abordado essa temática. Este estudo teve por objetivos avaliar o ambiente da prática profissional da equipe de enfermagem de unidades de terapia intensiva de adultos e verificar a relação com o burnout, a qualidade do cuidado, a satisfação no trabalho e a intenção de deixar o emprego. Trata-se de um estudo quantitativo, transversal realizado junto a enfermeiros, auxiliares e técnicos de enfermagem de unidades de terapia intensiva - adulto de hospitais de uma região do interior do Estado de São Paulo. Todos os enfermeiros foram convidados para compor a amostra e, para o grupo de auxiliares e técnicos, a amostragem foi probabilística. Os critérios de inclusão no estudo foram o exercício de atividades exclusivamente assistenciais e tempo de experiência no atual local de trabalho maior ou igual a três meses. Para a coleta de dados utilizou-se: a) ficha de caracterização pessoal, profissional e do ambiente; b) a versão brasileira resumida do Nursing Work Index - Revised; e c) o Inventário de Burnout de Maslach. Para a análise usou-se o SPSSÒ 15.0 for Windows e SAS for Windows versão 9.1.3. Participaram 429 profissionais de 17 hospitais, sendo 30% enfermeiros, 49,2% técnicos de enfermagem e 20,8% auxiliares de enfermagem. Os enfermeiros, auxiliares e técnicos julgaram ter autonomia, controle sobre o ambiente, boas relações entre médico e equipe de enfermagem e suporte organizacional e, na análise multivariada foi possível identificar correlações entre essas características e as subescalas do burnout, com repercussão na percepção da qualidade do cuidado, satisfação no trabalho e intenção de deixar o emprego. Os profissionais com pouca autonomia, menor controle sobre o ambiente e com piores relações com os médicos, manifestaram pior qualidade do cuidado, mais insatisfação no trabalho e maior intenção de deixar o emprego, quando mediadas pelo sentimento de exaustão emocional. Evidenciou-se também que a realização pessoal é um dos domínios do burnout que influencia a qualidade do cuidado e a satisfação no trabalho, o que significa que, em ambientes com características positivas, os profissionais se tornam mais realizados, se sentem mais satisfeitos e percebem o cuidado prestado com qualidade. Em contrapartida, o sentimento de despersonalização apresentou correlação apenas com autonomia e não influenciou nas variáveis de resultado. Ressalta-se a importância da realização de outros estudos para avaliar o ambiente da prática profissional que considerem também os profissionais de nível médio, uma vez que representam a maioria dos profissionais que presta assistência aos pacientes nas instituições de saúde no Brasil / Abstract: Nursing workers face many challenges in care delivery, among them that of ensuring quality and safe care in work environments that do not always provide favorable conditions for professional practice. Health facilities enabling nursing professionals to work with autonomy, to have control over their work environment, and encouraging collaboration between physicians and the nursing staff are acknowledged as positive environments for healthcare practice and result in safe and quality care delivered to patients. Nonetheless, few studies in Brazil address this subject. This study's objective was to evaluate the professional practice environment of nursing staffs working in adult intensive care units and verify its relation with burnout, quality of care, job satisfaction, and intention to leave the job. It is a cross-sectional quantitative study conducted with nurses, nursing technicians and assistants working in adult intensive care units in hospitals from a region in the state of São Paulo, Brazil. All the nurses were invited to participate in the study and probabilistic sampling was used to select the nursing assistants and technicians. Inclusion criteria were: performing patient care activities exclusively and having experience in current work of at least three months. The following were used to collect data: a) personal, professional and work environment characterization form; b) Brazilian brief version of the Nursing Work Index-Revised; and c) Malasch Burnout Inventory (MBI). SPSS for Windows version 15.0 and SAS for Windows version 9.1.3 were used for data analysis. A total of 429 professionals from 17 hospitals participated in the study: 30% were nurses, 49.2% were nursing technicians and 20.8% nursing auxiliaries. The nurses and nursing technicians and assistants reported autonomy, control over the work environment, good relationships between physicians and the nursing staff and organizational support. The multivariate analysis revealed correlations between these characteristics and the MBI's subscales with repercussion on one's perception of quality of care, job satisfaction, and intention to leave the job. The professionals with little autonomy, low control over the work environment, and poor relationships with physicians manifested worse quality of care, greater dissatisfaction with work, and greater probability of quitting their jobs when mediated by emotional exhaustion. Personal accomplishment is one of the MBI's domains influencing quality of care and job satisfaction, that is, professionals working in positive professional environments feel more satisfied and perceive quality care. In turn, depersonalization was correlated only with autonomy and did not affect the outcome variables. Further studies are needed to evaluate the professional practice environment also considering the perspective of professionals with technical education since these represent the majority of professionals delivering care to patients in Brazilian healthcare facilities / Mestrado / Enfermagem e Trabalho / Mestra em Enfermagem