There's a lot of politics, but it's an ok place to work.
Pros
Great benefits with insurance, tuition reimbursement, loan forgiveness, and sometimes sign-on bonuses. Duke has done a lot since COVID to increase RN salary. In my 2.5 years there, my salary went up by 75%. There are a lot of university resources beyond the health system that benefit staff. Great learning opportunities. Teaching hospital. Surrounded by brilliant people.
Cons
There is a lot of politics. Power-hungry managers that pick their favorites and have a double standard. A lot of the conversations around staff wellness, diversity and inclusion, and unit improvements happen to save face. Many meetings with upper management happen around magnet designation, and I've not seen a single concern/feedback from a staff member addressed with action. Meanwhile, there's so much talk, and talk only. Everyone, new and experienced, eventually leaves this powerful institution jaded and tired.