Understaffed and Underresourced - Registered Nurse, BSN Duke Health Employee Review

3.0
10 May 2024
Recommend
CEO approval
Business outlook

Pros

Pay is competitive for the market. Still has a pension program. Patient to nurse ratio is reasonable if not for under staffing of other positions.

Cons

1) While nurse to patient ratio is great, they are severely understaffed on CNAs and providers. So as the nurse you end up picking up most of the CNAs tasks while having to direct care because your provider is cross covering 120 different patients. 2) You have to pay to park. It is unacceptable that staff is expected to pay to come to work, especially considering that the lots are owned by Duke. 3) Their residency program both old & new is terrible and everyone involved should be let go. It's a repeat of nursing school, focuses too much on research, and doesn't actually teach you the hands on skills you need for your job.

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Duke Health Response
2y
Thank you for sharing your thoughts about Duke Health. We are glad to learn that you feel the pay, the pension program we offer nurses, and the patient to nurse ratios are a positive aspect of your experience as a team member at Duke Health. We are sorry to hear that you have had a less than positive experience with parking and the residency program. It’s important to hear your feedback and we appreciate the opportunity to learn more and address opportunities that exist within our organization.

Explore other reviews about Duke Health

5.0
2 Jul 2026
Recommend
CEO approval
Business outlook

Pros

Great place to work! Excellent benefits, competitive pay, opportunities for growth.

Cons

Parking is expensive and sometimes far from campus.

1.0
23 Jun 2026
Recommend
CEO approval
Business outlook

Pros

The work is meaningful and the team consists of some highly skilled professionals who are dedicated to supporting patients, providers, and the organization. The role provides exposure to complex issues and opportunities for professional growth.

Cons

The department suffers from significant leadership and culture challenges. Employees are hired as experienced professionals but are given little autonomy to perform the work they were hired to do. Leadership frequently inserts itself into routine matters, creating unnecessary delays and fostering a culture of micromanagement rather than trust. Communication is inconsistent and often lacks accountability. Important decisions and changes are frequently communicated verbally without written follow-up, creating confusion and shifting expectations. Employees are expected to remember evolving guidance, identify leadership mistakes, and compensate for communication failures. There is a noticeable gap between leadership messaging and employee experience. Work-life balance, employee engagement, and professional respect are regularly discussed, but many employees do not experience those values in practice. Concerns raised by employees do not appear to result in meaningful change, contributing to low morale and diminished trust in leadership. Leadership often responds to issues by implementing department-wide restrictions rather than addressing the specific individuals or situations involved. As a result, high-performing employees are subjected to increasing oversight and reduced autonomy because leadership is unwilling to address performance concerns directly. Turnover, employee dissatisfaction, and leadership credibility have been ongoing concerns. The department would benefit from leaders who are willing to listen, communicate transparently, accept accountability, and trust the expertise of the professionals they supervise.

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