SE14b

 

Recognition of Nursing SE14

 

Provide one example, with supporting evidence, of recognition of a nurse(s) in an ambulatory care setting for their contribution(s) in addressing the strategic priorities of the organization.  

 

 

Example b: DAISY Recognition of a Nurse from an Ambulatory Care Setting

Organizational Strategic Priority

CommonSpirit Health (CSH) is the overarching organization for Catholic Health Initiatives (CHI) St. Vincent Hot Springs (SVHS). CSH’s Organizational Strategic Plan has three strategic pillars: Our People, Our Excellence, and Our Future. The Excellence pillar is defined as, “Relentlessly pursue clinical excellence and equitable whole person care that is considered outstanding in all CSH care settings.” (Evidence SE14b-1, CSH 2026 5 Year Organizational Strategic Plan) The Excellence pillar cascades into Engagement, which is one of the six themes in the CHI SVHS Nursing Strategic Plan. Engagement encompasses promoting teamwork, interprofessional collaboration, and recognizing and rewarding nursing excellence.

 

CHI SVHS nurses use the Relationship-Based Care (RBC) model of nursing practice, in which caring for a patient’s family is viewed as equally important as caring for the patient. The three central relationships of RBC are:

  • Care of Patient/Family
  • Care of Self
  • Care of Team

 

CHI SVHS uses shift primary nursing as its care delivery system. The RN is the primary coordinator of care, being assisted by others while maintaining overall responsibility for the patient during their shift. The RN collaborates with the patient, family members, and interdisciplinary team members to ensure patients receive excellent care. (Evidence SE14b-2, CHI SVHS Nursing Strategic Plan FY21 - FY25)

 

Ambulatory Care Setting Nurse’s Contribution Addresses Organizational Strategic Priorities

Katelyn Freeman, RN, Clinical Nurse, Emergency Department (ED), has been in the ED for five years, spending three as a patient care tech (2017-2021) and then transitioning to the Registered Nurse Residency Program in the ED after graduating with her associate degree in nursing (2021-present). In October 2022, Freeman cared for a patient who was admitted through the ED with complaints of chest pain. The patient’s wife nominated Freeman for the DAISY Award because of her excellent care.

 

The patient’s wife wrote the following DAISY Award nomination for Freeman:

 

    “On October 30, 2022, I brought my husband into the ED for what we thought might be chest pain. He woke up complaining of chest pressure, maybe a gas bubble and sleeping wrong because his neck and jaw were hurting. Something told me he needed to be seen quickly so we came into the ED on that early Sunday morning. As I have told everyone, I am not a cardiac nurse. I really was not thinking it was going to be anything. We were quickly assessed in triage and taken back to an ED room. Katelyn introduced herself and explained everything that she was going to do. She was always smiling and very comforting. She started his IV, drew blood, got him all hooked up. Side note, my husband is a big burly guy, kinda looks intimidating but really he’s the best guy you will ever meet. Katelyn laughed and joked with him, taking his mind off his pain and helping ease the anxiety of waiting to see what labs results show.

     

    “After a little while Dr. Boulden came in with ‘the news’ my husband was actively having a heart attack. It is true when they say everything else anyone says becomes mumbled and all you hear is heart attack. My big strong husband broke down, sobbing. I didn’t really know what to do so I held his hand and we cried. Katelyn was there to reassure us that everything was going to be ok and explained everything that was happening because by now there was a room full of nurses, techs, etc. getting him prepped and ready for the Cath Lab. Katelyn kept a smile on her face and a positive tone which kept me and my husband’s anxiety at bay for the most part. She kept us informed, reassured us and kept the mood lighthearted, which is exactly what we needed. I just wanted her to know how much she touched our lives that day and what an amazing nurse she is!” (Evidence SE14b-3, DAISY Award Nomination Letter)

 

Freeman provided clinical excellence and equitable whole person care, which is part of the Excellence pillar, and she put the RBC model into practice by caring not only for the patient, but his wife as well. Freeman’s steadfast commitment to providing excellent care at CHI SVHS shows through her care of this patient and family as documented in the DAISY nomination.

 

Nurse Receives Organizational Recognition

DAISY Award
SVHS nurses can be nominated for the DAISY Award by living and demonstrating the CSH mission statement, as outlined in the Organizational Strategic Plan: “As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.” Nurses can also be nominated for demonstrating the CHI SVHS core values of Integrity, Collaboration, Reverence, Compassion, and Excellence. CHI SVHS uses this award to recognize nurses who address the strategic priorities of the organization through nursing excellence.

 

DAISY nominations can come from coworkers, visitors, patients, or patients’ family members – anyone who experiences or observes extraordinary, compassionate care being provided by a nurse. The DAISY Award was established by the DAISY Foundation in 1999 in memory of J. Patrick Barnes, who died at age 33 of Immune Thrombocytopenia. His family started the DAISY Award program to thank and honor nurses for the super-human work they do for patients and families every day.

 

Electronic DAISY Award nomination forms can be found on the CHI St. Vincent Insider internal webpage and the CHI St. Vincent external webpage. Paper forms are placed in patients’ welcome and discharge packets and in holders throughout CHI SVHS. The criteria for nominations are:

  • Listens with his/her heart
  • Illustrates our core values
  • Takes care of the entire patient
  • Goes above and beyond
  • Does not “pass the buck”
  • Is an excellent team player
  • Exhibits extraordinary skills and knowledge

 

DAISY Award nominations go through a multi-step process. First, whoever receives the nomination form forwards it to Human Resources to determine whether the nominee is in good standing. Nominations are then forwarded to Crystal Dziurkowski, Administrative Assistant, to do the following:

  • Log the receipt of the nomination, including the nominee’s name, credentials, nursing unit/area, and facility.
  • Maintain the original submitted nomination form.
  • Assign each nomination form a number. The numbering for nominations starts over with number one at the beginning of the fiscal year and continues sequentially through the end of the fiscal year.
  • Write the assigned number on the original nomination form containing the nominee’s identifying information.
  • Create a blind copy of the DAISY nomination, identifiable only by the assigned number. Copies are blinded by removing the nominee’s name, unit, and facility without altering the story.
  • Before the monthly Interprofessional Practice Council (IPC) meeting, assemble the blinded nomination forms for council members to review.
  • Coordinate the distribution of the blinded nominations at the IPC meetings.
  • Coordinate the presentation of the DAISY Award at the monthly Leadership Forum.

 

The IPC is integrated into the CHI SVHS Shared Governance structure. At the IPC meeting, each voting member votes on one of the blinded nominations. The nominee receiving the majority vote is the winner. The DAISY Award is presented at the monthly CHI SVHS Leadership Forum, attended by interprofessional leaders from throughout the facility. The awardee’s coworkers and family members are invited to attend the celebration. Freeman was voted as the DAISY Award winner for December 2022 at the IPC meeting in November 2022.

 

During the January 2023 CHI SVHS Leadership Forum, Freeman was recognized for providing excellent care to the patient and patient’s wife. Teresa Lambert, MBA, BSN, RN, Vice President of Patient Care Services and Assistant Chief Nursing Officer (role of CNO), presented Freeman with the DAISY award. The ED team was invited to celebrate with Freeman at this forum. (Evidence SE14b-4, Leadership Forum Minutes, January 2023)


DAISY Award winners receive the following:

  • A certificate held in a portfolio
  • A DAISY Award pin
  • A DAISY Award pin badge holder
  • A unique, hand-carved serpentine stone sculpture from Zimbabwe, called “A Healer’s Touch.”
  • A spotlight page on the CHI Insiders and OneSpirit Blog telling the story of why the nurse was honored.
  • Their picture on the electronic billboards throughout the hospital
  • A banner placed at the entrance to their unit stating that a DAISY Award winner works there
  • Cinnamon rolls delivered to the award winner and their unit
  • Their name on the Daisy Award Wall

 

Social Media
DAISY Award winners are celebrated with a post on the CHI SVHS public Facebook page. This includes a picture of them receiving their award at Leadership Forum, a sentence or two from the nomination, and a hyperlink to OneSpirit blog, an internal webpage that highlights excellence in nursing. Freeman was recognized on the One Spirit blog in January 2023 and the CHI Facebook page in February 2023. (Evidence SE14b-5, Facebook Post)