This is a multi-answer question. There may be more than one correct response to this question. 这是一个多选题。对于这个问题，可能有不止一个正确的回答。 Barriers for effective communication noted in the literature include: 文献中指出的有效沟通障碍包括：多项选择题
A
work overload 工作超负荷
B
knowledge deficits 知识缺陷
C
pain 疼痛
D
noisy environments 嘈杂的环境
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