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Purchase access to this article; published in Case Management Advisor.
A common perception is that a lot of the bullying and disrespect that can create a toxic work culture in healthcare settings 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 Elaine Larson, PhD, RN, FAAN, CIC, associate dean for research at the Columbia School of Nursing in New York.