The design presents a creative and uplifting message about nurses, comparing them to pineapples. It features a playful and eye-catching design that uses a combination of text and graphics to convey its message. The text, arranged in a visually appealing manner, reads "Nurses are like pineapples on the outside tough + sweet on the inside." The use of the word "tough" is followed by a heart symbol and the word "sweet," which adds a touch of warmth and affection to the message. The pineapples, illustrated with green leaves and yellow bodies, serve as a visual representation of the message, enhancing the overall impact of the design. The overall style of the image is light-hearted and positive, making it an effective and enjoyable piece of artwork.