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. 2023 Jan 9;18(1):e0280241. doi: 10.1371/journal.pone.0280241

Table 3. Main themes and sub-themes.

Main themes Sub-themes
1. A challenging and harmful sound environment 1.1 Unnecessary and disturbing sounds
1.2 Meaningful, but disturbing sounds
2. Health-related effects of a challenging and harmful sound environment 2.1 The sound environment is causing hearing-related symptoms
2.2 The noise is causing stress
3. A good sound environment is not prioritized 3.1 Demanding psychosocial working conditions
3.2 Budget constraints
3.3 Noise is not part of the systematic work environment management
3.4 Lack of peace and quiet
4. Resourceful and motivated staff 4.1 Attempts to handle the challenging sound environment
4.2 Individual motivation for change
4.3 Organizational support needed