Work environment (hospital) where you’re not their boss or they don’t answer to you. Just CONSTANT passive aggressiveness, snippy comments, , etc.
Oh, and let’s empower them by allowing anonymous online reporting systems where they can complain, report, sabotage you with you having no recourse to defend yourself with basically zero HR protection. Some of the pettiness you’ll see would blow you away. Fortunately most of that is directed amongst themselves but still.
It’s one reason that working in a hospital truly is a toxic and miserable workplace.