“…Professionals in our setting may share these two aspects, there being many studies that show this [21-23,27], but a worsening tendency is not confirmed, at least in the last five years. The differences with other processes of change in other health organizations may stem from experiencing change as an opportunity for improvement [17], and that the change in the organization has not reached micromanagement [18]. If changes are perceived by professionals as challenging, some authors have found them associated positively with perceptions of job satisfaction and stress [2].…”