-Devalues the autonomy of an NP
-Does not value provider-patient relationship
-Poor communication
-As an NP your work is not valued and all metrics are not credited to your care.
-When you want to level up, precept, take leadership, not available for NP's. Never get responses.
-Their leaders are great talkers, all talk, 0 action.
-As a team- NP is not valued.
-Leadership skills are lacking.