This design features a graphic design with a white background. At the center, there is a playful and colorful illustration of a pineapple with a green top and a yellow bottom. The pineapple is surrounded by a black border. Above the pineapple, there is a text that reads, "Nurses are like pineapples tough + sweet on the inside." The text is in a casual, handwritten font, with the word "nurses" emphasized by being larger and bolder than the rest of the text. Below the pineapple, there is another line of text that says, "Sweet on the inside." This text is smaller than the one above it and is also in a handwritten font. The overall style of the image is cheerful and lighthearted, with a clear focus on the theme of nursing and the use of a pineapple as a symbol. The design is likely intended to be a decorative or motivational piece, possibly for a nursing-related event or organization.