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<p>A common perception is that a lot of the toxic culture in health care is directed by physicians toward nurses. Surprisingly, nurses appear to observe a hierarchy within their own ranks that may be just as mean spirited, says <strong>Elaine Larson</strong>, PhD, RN, FAAN, CIC, associate dean for research at the Columbia School of Nursing in New York. </p>

Disrespectful behavior also occurs among nurses

A hierarchical order that eats their young