The image is a collage of four separate scenes, each depicting medical personnel in various settings. 

1. The first scene shows a nurse standing next to a patient in an intensive care unit (ICU). The patient appears to be lying on a bed with medical equipment around them.
2. The second scene features a nurse and a doctor in a hospital setting, possibly discussing or monitoring the patient's condition.
3. The third scene captures a nurse and another medical professional in a clinical environment, likely discussing patient care or medical procedures.
4. The fourth scene shows a nurse and a patient in a hospital room, with the patient lying on a bed and the nurse attending to them.

Overall, the image portrays medical professionals working in different settings, including intensive care units, hospitals, and clinical environments, with a focus on patient care and medical procedures.