At first glance this emission nebula appears to be the Elephant Trunk.  But it is actually a similar structure at the end of a spiral arm of the Milky Way and about one fifth the apparent size of the more familiar Elephant Trunk (SH2-131).   The center features an open star cluster whose light energizes the nebula.  The stellar winds from this cluster are hollowing out the neighboring gasses.  

NoirLab: https://noirlab.edu/public/images/noao-sh2-284/
Spitzer/IRAC: https://www.aanda.org/articles/aa/abs/2009/31/aa10664-08/aa10664-08.html

On the right is a pillar structure that strongly resembles a bony pointing finger and hand.  Bok Globules appear to float in the center and near the pointing finger.  I have not seen these referred to in any of the descriptions I read but they certainly look like those I've seen referenced in other objects.  

The French Wikipedia does list a distance of 25,700 light years, which is more than 10 times the distance of the Elephant Trunk at 2400 light years.  https://fr.wikipedia.org/wiki/Sh2-284

This image is a dynamic SHO combination with RGB stars.  Processing steps were:

SHO

1) Remove Stars from SHO masters
2) Create factor image out of Starless O master, denoise heavily with NXT, stretch and then apply an S curve to add contrast
3) Use the factor file to combine the SHO masters as per this tutorial: https://thecoldestnights.com/2020/06/pixinsight-dynamic-narrowband-combinations-with-pixelmath/
4) Apply BXT to the resulting color master, stretch and then apply NXT
5) Create a Pseudo-Luminance leaning more on the Ha to keep noise under control.  H*.6+S*.2+O*.2
6) BXT on the Pseudo-Lum, stretch and thing NXT
7) Apply the Pseudo-Lum to the SHO data using LRGB combine

Stars

1) Combine the RGB masters with Channel Combination and apply SPCC
EDIT: I ran BXT here to reduce the stars
2) Stretch with Masked Stretch and then apply curves for final stretching
3) Small Saturation increase with the Curves tool
4) SXT to unscreen the stars

Photoshop

1) Add stars to SHO master as a Screen blend layer
2) Reduce stars with curves tool to taste
3) Slight shift of SHO's Cyans toward Blue using color mixer in Camera Raw
4) Small Vibrance and Saturation increase to the SHO
5) Stronger increase to Vibrance and Saturation on the Stars layer
6) Contrast increase on the SHO layer using Curves