Many people spend most of their waking hours at work. Day to day experiences at work can impact a sense of satisfaction and also health. A positive working environment can enhance performance and a sense of well-being. Conversely, a negative working environment can create more stress and diminish performance. In the health care environment, patient safety and satisfaction are heavily influenced by the working environment of the caregivers. The topics below reflect key areas in the work environment that can determine the positive or negative environment.