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{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/6949926","sourcedb":"PMC","sourceid":"6949926","source_url":"https://www.ncbi.nlm.nih.gov/pmc/6949926","text":"4.1.1. Physical Environment\nA good working environment can facilitate better service and reduce workload. A disorganized working environment impairs the health center teams. Infrastructure includes attention to space, ventilation, comfort, and rational layout that facilitates links within the healthcare settings. The workplace has an impact on preventing TB transmission; it serves as the first line of defense for preventing the spread of TB in the healthcare settings. Participants expressed similar sentiments about poor infrastructure.\nNurse (N1) said: “the hospital infrastructure is very old and deteriorating, the wards’ layout is not conducive for TB wards, it has small windows that fuel bacterial concentration.”\nAnother nurse (N2) added that: “the working environment is poor since we sit in the wards with patients all day long. During lunch time we sit in a small room within the TB wards, which accommodates less than five people and the door doesn’t even close.”\nNurse (N4) said: “all patients are accommodated in the same wards, whether they are extensively drug-resistant TB (XDR-TB) or MRD or TB patients, hmmm the wards layout is not proper. We have to sit all day with patients and told that patients who are under treatment are not infectious (emotional).”\nAccording to the findings of this study, physical environment was poor and TB ward designs were not conducive. A study that was done by Kieft et al. [13] indicated that improved hospital design can help reduce staff stress and fatigue and increase effectiveness in delivering care, improve patient safety, reduce patient and family stress, and improve outcomes and the overall healthcare quality. The findings of this study concur with the study that was done by Brophy [14], which indicated that the nurses were concerned with their occupational environment and voiced concern about the deteriorating hospital infrastructure.","divisions":[{"label":"Title","span":{"begin":0,"end":27}}],"tracks":[{"project":"2_test","denotations":[{"id":"31817829-24923663-49649088","span":{"begin":1430,"end":1432},"obj":"24923663"},{"id":"T10034","span":{"begin":1430,"end":1432},"obj":"24923663"}],"attributes":[{"subj":"31817829-24923663-49649088","pred":"source","obj":"2_test"},{"subj":"T10034","pred":"source","obj":"2_test"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"2_test","color":"#beec93","default":true}]}]}}