Duke is a great place to be a patient, work environment is okay depending on department.
Pros
Youthful energy, new ideas, a place that provides great care. Met some of the most amazing patients and most interesting cases there. Inspired me to continue my education. After having Duke on my resume I am considered a "top pick" by nurse recruiters.
Cons
Pay scale is stagnant for experienced nurses, nurse managers knowledge of nursing varies from very limited to extensive. Not the best retirement package. Attracts new grads who work for two-three years, then leave for graduate school to become nurse practitioners, CRNAs, or travel nurses. After 6+ years working in all their ICUs, it was time to grow professionally and financially. Day/night rotating schedules are awful for most people. If this is a requirement of staff nurses, it should be a requirement for managers as well. It does not help retain people to have a schedule that rotates continuously.