Mississippi Nurses Association and Foundation Nightingale Awards Nomination Packet

Transcription

1 Mississippi Nurses Association and Foundation 2014 Nightingale Awards Nomination Packet

2 Mississippi Nightingale Awards March 3, 2014 Marriott Hotel Jackson, Miss. General Instructions for Nominations: The NOMINATOR should: Submit four (4) copies of the following material by the deadline, Monday, January 6, 2014: 1. Nomination cover sheet. Please list only one (1) nominee per cover sheet the nomination cover sheet must include the nominee s license number. Should you wish to make multiple nominations, please submit a separate cover sheet for each nomination/recommendation. 2. Introductory Statement. Please supply a short introductory statement about the nominee. You may include place of employment, education background, contributions and accomplishments. Use this statement to describe the nominee s attributes for the award category in which they are nominated. Limit this statement to 300 words. 3.. Typewritten responses addressing application information for each nominee in each category (use as many sheets as necessary to address each point completely). Provide two DIGITAL photographs. For individual nominee, one photograph may be a head shot and the other photograph may be taken in the working environment. For organization nominees, one photograph may be of the exterior of the facility; the other photograph may be of the interior of the facility. For facility pictures, please try to include some identifying image (sign, logo, etc). All photos must be at least 300 dpi, and should either be ed to mna@msnurses.org or should be included on a CD with the nomination packet. NOTE: Nominees must meet the following general criteria to be considered: 1. The nominee has not won the specific award within the last two years. 2. The nominee is not a current member of the Mississippi Nurses Association Board of Directors or the Mississippi Nurses Foundation Board of Trustees. 3. The nominee has served/practiced in the area/position for which he/she is nominated for the last 365 days. Nominations must be received or postmarked by Monday, January 6, 2014 Mail to: Additional Information: Mississippi Nurses Association Phone: (601) Attention: Nightingale Awards Committee Fax: (601) Woodgreen Place mna@msnurses.org Madison, MS Web: The Mississippi Nurses Association will notify all qualifying nominees upon receipt of nomination.

3 Nomination Cover Sheet Award Categories: Nurse of the Year Faculty Member of the Year Nurse Educator of the Year Nurse Manager of the Year Clinical Practice Nurse of the Year Advanced Practice Nurse of the Year Nurse in Non-Traditional Setting of the Year Nursing Administrator of the Year Nurse Mentor of the Year Nurse Rookie of the Year School of Nursing of the Year School of Nursing Administrator of the Year Community Service Nurse of the Year Nurse Researcher of the Year Nurse Innovator of the Year Employer of the Year (Other than a hospital) Hospital of the Year (less than 100 beds) Hospital of the Year (100 beds or more) Lifetime of Nursing Service Mississippi Nurses Association Hall of Fame I wish to nominate (Please list full name of nominee with credentials. Correct credentials are required) for the following Award Category:. Nominee Contact Information: Name: Credentials: (MS) RN License # Address: Home/Cell Phone: Work Phone: Place of Employment: Contact Name (for Employer, Hospital or Organization Nomination): Nominator Contact Information: Name: Address: Home/Cell Phone: Work Phone: Nominator s Signature Note: Please verify credentials with nominee.

4 Nurse of the Year This award honors the registered nurse most exemplifying the art and science of nursing during the previous year. (MNA Membership Required) 1. Nomination cover sheet. 3. Years licensed as a Registered Nurse. 4. Introductory Statement- limit to 300 words. 5. Years in current position. 6. Nominee s participation in professional organizations. 7. Three letters of support from colleagues and/or employer -limit (3) (attach). 8. Nominee s impact on local or statewide healthcare and nursing. 9. Nominee s demonstration of the art/caring of nursing. 10. Nominee s demonstration of the science of nursing/clinical expertise. 11. Nominee s demonstration of pursuance of continuing education. 12. Nominee s evidence of mentoring. 13. Any additional relevant information. 14. Two digital photographs of the nominee. Remember: The deadline is Monday, January 6, Be sure to include the Nomination cover sheet, Introductory Statement (Limit this statement to 300 words) and complete all Application information.

5 Faculty Member of the Year This award is given to an outstanding nurse educator involved in formal entry-level or graduate level education. 1. Nomination cover sheet. 3. Years licensed as a Registered Nurse. 4. Years in current position. 5. Introductory Statement- limit to 300 words. 6. Nominee s participation in professional organizations. 7. Nominee s impact on students entering the profession. 8. Nominee s impact on students pursuing an advanced nursing degree. 9. Nominee s excellence in classroom presentation. 10. Nominee s excellence in clinical expertise. 11. Comments from Nominee s students. 12. Three (3) letters of support from colleagues and/or employer- limit (3) (attach). 13. Any additional relevant information. 14. Two digital photographs of the nominee. Introductory Statement (Limit this statement to 300 words) and complete all.

6 Nurse Educator of the Year This award recognizes a nurse licensed in Mississippi that best exemplifies imparting the art and science of nursing education in a setting other than a school of nursing. 1. Nomination cover sheet. 3. Years licensed as a Registered Nurse. 4. Years in current position. 5. Introductory Statement-limit to 300 words. 6. Nominee s impact on students entering the profession. 7. Nominee s impact on students pursuing an advanced nursing degree. 8. Nominee s excellence in classroom presentation. 9. Nominee s excellence in clinical expertise. 10. Comments from Nominee s students. 11. Nominee s participation in professional organizations. 12. Three (3) letters of support from colleagues and/or employer-limit (3) (attach). 13. Any additional relevant information. 14. Two digital photographs of the nominee. Introductory Statement (Limit this statement to 300 words) and complete all.

7 Nurse Manager of the Year This award recognizes a nurse licensed in Mississippi that best exemplifies imparting the art and science of nursing leadership and practice in a clinic, hospital or office setting. 1. Nomination Cover Sheet. 2. Nominee Name 3. Years of experience as a Registered Nurse 4. Introductory Statement-limit to 300 words. 5. Nominee s participation in professional organizations including any offices held. 6. Nominee s demonstration of pursuance of advanced or continuing education. 7. Years served in Nurse Manager Position with description of role, identifying number of beds on patient care unit(s) and number of employees managed. 8. Nominee s participation in community committees, events or activities. 9. Nominee s ability to impart positive interpersonal communication skills. 10. Nominee s impact on employee and patient outcomes through application of nursing management, clinical and technical knowledge and expertise. 11. Exemplary examples of management skills within the medical facility. 12. Letters of support from colleagues, co-workers and leaders of medical facility and patient comments. 13. Any additional, relevant information to demonstrate ability to serve as manager for employees, patients and families. 14. Two digital photographs of nominee. Introductory Statement (Limit this statement to 300 words) and complete all.

8 Clinical Practice Nurse of the Year This award recognizes a registered nurse delivering exemplary patient care in the clinic, hospital or office setting. 1. Nomination cover sheet. 3. Years licensed as a Registered Nurse. 4. Years in current position. 5. Introductory Statement-limit to 300 words. 6. Nominee s participation in professional organizations. 7. Nominee s impact on patient outcomes through application of nursing knowledge. 8. Nominee s interpersonal communication skills. 9. Nominee s technical expertise. 10. Nominee s demonstration of pursuance of continuing education. 11. Nominee s participation in organizational/employer affairs. 12. Comments from Nominee s patients. 13. Three (3) letters of support from colleagues and/or employer-limit (3) (attach). 14. Any additional relevant information. 15. Two digital photographs of the nominee. Introductory Statement (Limit this statement to 300 words) and complete all.

9 Advanced Practice Nurse of the Year This award honors an Advanced Practice Registered Nurse licensed in Mississippi for outstanding direct patient care. 1. Nomination cover sheet 3. Years licensed as a Registered Nurse. 4. Years in current position 5. Introductory Statement-limit to 300 words. 6. Nominee s participation in professional organizations. 7. Nominee s impact on patient outcomes. 8. Comments from Nominee s patients. 9. Nominee s interpersonal communication skills. 10. Nominee s technical expertise. 11. Nominee s demonstration of pursuance of continuing education. 12. Nominee s furtherance of the role of advanced practice nursing in the community. 13. Three (3) letters of support from colleagues and/or employer-limit (3) (attach). 14. Any additional relevant information. 15. Two digital photographs of the nominee. Introductory Statement (Limit this statement to 300 words) and complete all.

10 Nurse in Non-Traditional Setting of the Year This award honors a Nurse licensed in Mississippi best exemplifying the art and science of nursing in a non-traditional employment setting (law firm, public policy, healthcare management, quality assurance, military, etc. not an exclusive list). 1. Nomination cover sheet 3. Years licensed as a Registered Nurse. 4. Years in current position. 5. Introductory Statement-limit to 300 words. 6. Participation in professional organizations. 7. Participation in organization/employer events. 8. Demonstration of art and science of nursing in the professional setting. 9. Demonstration of pursuance of continuing education. 10. Evidence of mentoring. 11. Demonstration of ambassadorship for the field of nursing in the non-clinical workplace. 12. Three (3) letters of support from colleagues and/or employer-limit (3) (attach). 13. Any additional relevant information. 14. Nomination cover sheet. 15. Two digital photographs of nominee. Introductory Statement (Limit this statement to 300 words) and complete all.

11 Nursing Administrator of the Year This award recognizes a registered nurse who administers the business/patient care activities of a health organization and/or who manages other personnel. 1. Nomination cover sheet. 3. Years licensed as a Registered Nurse. 4. Years in current position. 5. Introductory Statement-Limit to 300 Words. 6. Nominee s participation in professional organizations. 7. Nominee s communication skills. 8. Nominee s evidence of mentoring. 9. Comments from facility registered nurses about nominee. 10. Nominee s reactivity in leading/administering nursing care delivery. 11. Nominee s demonstration of pursuance of continuing education. 12. Three (3) letters of support from colleagues and/or employer-limit (3) (attach). 13. Any additional relevant information. 14. Two digital photographs of the nominee. Introductory Statement (Limit this statement to 300 words) and complete all.

12 Nurse Mentor of the Year This award honors a registered nurse who voluntarily or as an employee assists a colleague to advance in the profession. 1. Nomination cover sheet. 3. Years licensed as a Registered Nurse. 4. Years in current position. 5. Introductory Statement-Limit to 300 words. 6. Comments from colleagues and mentees about nominee. 7. Nominee s communication skills. 8. Nominee s demonstration of professional awareness. 9. Demonstration of success of Nominee s mentees. 10. Nominee s participation in professional organizations. 11. Three (3) letters of support from colleagues and/or employer-limit (3) (attach). 12. Any additional relevant information. 13. Two digital photographs of the nominee. Introductory Statement (Limit this statement to 300 words) and complete all.

13 Nurse Rookie of the Year This award honors a registered nurse who, practicing for less than two years, exhibits exemplary maturity and professionalism while delivering nursing care. 1. Nomination cover sheet. 3. Years licensed as a Registered Nurse (must be less than 2 years for this award). 4. Years/months in current position. 5. Introductory Statement-Limit to 300 words. 6. Nominee s participation in professional organizations. 7. Nominee s demonstration of the art and science of nursing. 8. Comments from administrator/colleagues regarding nominee s professional growth 9. Nominee s evidence of continuing education. 10. Three (3) letters of support from colleagues and/or employer-limit (3) (attach). 11. Any additional relevant information. 12. Two digital photographs of the nominee. Introductory Statement (Limit this statement to 300 words) and complete all.

14 School of Nursing of the Year This award recognizes a school of nursing offering formal education for entry into practice as a registered nurse. 1. Nomination cover sheet. 2. Length of time organization has been in business. 3. History of the organization. 4. Description of the organization s most significant contribution to the healthcare industry and nursing profession. 5. First-time passage rate on NCLEX-RN for three years. 6. Accreditation status. 7. Examples of activity of alumni association. 8. Examples of activity of student organization. 9. Examples of innovations in education/teaching. 10. Graduation rate for last 5 years. 11. Comments of graduates. 12. Comments of graduates employers. 13. Comments of faculty. 14. Any additional relevant information. 15. Two digital photographs of the nominee (school signage and/or an exterior building shot will suffice). Introductory Statement (Limit this statement to 300 words) and complete all.

15 School of Nursing Administrator of the Year This award recognizes a registered nurse who is responsible for the administration of a school of nursing or division with a school of nursing. 1. Nomination cover sheet. 3. Years licensed as a Registered Nurse 4. Years in current position. 5. Introductory Statement-limit to 300 words. 6. Nominee s participation in professional organizations. 7. General evaluation comments of Nominee s students. 8. Demonstration of Nominee s innovative leadership. 9. Comments of Nominee s faculty colleagues. 10. Nominee s significant accomplishments for school of nursing led by Nominee. 11. Nominee s full vitae or resume (attach). 12. Three (3) letters of support from colleagues and/or employer-limit (3) (attach). 13. Any additional relevant information. 14. Two digital photographs of the nominee. Introductory Statement (Limit this statement to 300 words) and complete all.

16 Community Service Nurse of the Year This award recognizes achievement of outstanding community service by a registered nurse. 1. Nomination cover sheet. 3. Years licensed as a Registered Nurse. 4. Years in current position. 5. Introductory Statement-limit to 300 words. 6. Nominee s participation in professional organization. 7. Demonstration of Nominee s leadership in volunteer community activities, school, church, etc. 8. Demonstration of significant accomplishment for the community by Nominee. 9. Demonstration of Nominee s use of nursing art and practice in community service. 10. Three (3) letters of support from colleagues and/or employer (attach) 11. Any additional relevant information. 12. Two digital photographs of the nominee. Introductory Statement (Limit this statement to 300 words) and complete all.

17 Nurse Researcher of the Year This award recognizes a registered nurse who has led significant formal or informal nursing research or application of nursing research to improve outcomes through evidence-based practice, which has impacted healthcare or the community. 1. Nominee Name. 2. Years licensed as a Registered Nurse. 3. Years in current position. 4. Introductory Statement-limit to 300 words. 5. Nominee s participation in professional organizations. 6. Description of Nominee s demonstrated research capabilities-formal or informal. 7. Impact of Nominee s research on profession or community. 8. Nominee s ability to procure funding. 9. Description of Nominee s completed or ongoing research, within the last two years. 10. Three (3) letters of support from colleagues and/or employer (attach). 11. Any additional relevant information. 12. Two digital photographs of the nominee. Introductory Statement (Limit this statement to 300 words) and complete all.

18 Nurse Innovator of the Year This award recognizes a registered nurse who develops innovative programs and activities for patients and employer. The program or project must be less than five years active. 1. Nomination cover sheet. 3. Years licensed as a Registered Nurse. 4. Years in current position. 5. Introductory Statement-Limit to 300 Words. 6. Nominee s participation in professional organizations. 7. Nominee s communication skills. 8. Nominee s evidence of leadership and mentoring. 9. Comments from colleagues about the impact of nominee s innovative program or project. 10. Nominee s ability to lead/administer new project for enhancement in nursing care delivery. 11. Nominee s demonstration of collaboration with colleagues and other organizations. 12. Three (3) letters of support from colleagues and/or employer-limit (3) (attach). 13. Any additional relevant information. 14. Two digital photographs of the nominee. Introductory Statement (Limit this statement to 300 words) and complete all.

19 Employer of the Year (Other than Hospital) This award recognizes an employer of registered nurses that demonstrates recognition for professional nursing and innovation in leadership. 1. Nomination cover sheet 2. Introductory statement limit to 300 words 3. Length of time organization has been in business. 4. History of the organization. 5. Description of the organization s most significant contribution to the healthcare industry and nursing profession. 6. Demonstration of RN recognition program within the organization. 7. Demonstration of support of RN professional development. 8. Turnover rate of RN staff. 9. Demonstration of support of RN participation in professional organizations. 10. Comments from RN staff 11. Any additional relevant information. 12. Two digital photographs of the nominee (signage and/or an exterior building shot will suffice). Introductory Statement (Limit this statement to 300 words) and complete all.

20 Hospital of the Year (less than l00 licensed beds) This award recognizes a hospital employer of registered nurses that demonstrates recognition of professional nursing and innovation in leadership. 1. Nomination cover sheet 2. Introductory statement limit to 300 words 3. Length of time organization has been in business. 4. History of the organization. 5. Description of the organization s most significant contribution to the healthcare industry and nursing profession. 6. Demonstration of RN recognition program within the organization. 7. Demonstration of RN participation in decision-making/management decisions. 8. Demonstration of community support for nursing. 9. Demonstration of support of RN professional development. 10. Demonstration of leadership management 11. Demonstration of support of RN participation in professional organization. 12. Turnover of RN staff and in patients. 13. Comments from RN staff 14. Any additional relevant information. 15. Two digital photographs of the nominee (signage and/or an exterior building shot will suffice). Introductory Statement (Limit this statement to 300 words) and complete all.

21 Hospital of the Year (l00 licensed beds or more) This award recognizes a hospital employer of registered nurses that demonstrates recognition of professional nursing and innovation in leadership. 1. Nomination cover sheet 2. Length of time organization has been in business. 3. History of the organization. 4. Introductory statement limit to 300 words 5. Description of the organization s most significant contribution to the healthcare industry and nursing profession. 6. Demonstration of support of RN participation in professional organization. 7. Demonstration of support of RN professional development 8. Demonstration of RN recognition program within the organization. 9. Demonstration of RN participation in decision-making/management decisions. 10. Demonstration of community support for nursing. 11. Demonstration of leadership/management. 12. Turnover of RN staff. 13. Comments from RN staff and/or patients 14. Any additional relevant information. 15. Two digital photographs of the nominee (signage and/or an exterior building shot will suffice). Introductory Statement (Limit this statement to 300 words) and complete all.

22 Mississippi Nurses Association Lifetime of Nursing Service This award recognizes a Registered Nurse s lifelong service to the profession of nursing and its impact on the life of patients, students or the community. This is not a nomination category. Individuals must me recommended to the MNA Board of Directors for approval. Please note: the following information must be provided for consideration. You will be notified by mail of approval. Must be a former (if retired) or current member of MNA. included/addressed each of the following attach as many sheets as necessary to address each criterion completely: 1. Nominee Name. 2. Years licensed as a Registered Nurse. 3. Demonstrated leadership that positively impacted the nursing profession. 4. Lifelong service in or to nursing practice, education or the community. 5. Provide examples of involvement and participation with MNA, ANA or other professional nursing organization. 6. Significant achievements in patient care, education or community as it relates to nursing. 7. Significant length of time in the nursing profession. 8. Any additional relevant information. 9. Nomination cover sheet. 10. Two digital photographs of the nominee (scanned photos will suffice). Failure to include any of the requested information may result in the submission not being considered for nomination. Remember: The deadline is Monday, January 6, Be sure to include the cover sheet; Introductory Statement (Limit this statement to 300 words); and complete all.

23 Mississippi Nurses Association Hall of Fame This prestigious award recognizes a Registered Nurse s lifelong commitment to the profession of nursing and its impact on the health and/or social history of the state of Mississippi. Hall of Fame inductees may be living or deceased. This is not a nomination category. Individuals must me recommended to the MNA Board of Directors for approval. You will be notified by mail if inducted. Please note: the following information must be provided for consideration. Must be a former (if retired) or current member of MNA. included/addressed each of the following attach as many sheets as necessary to address each criterion completely: 11. Nominee Name. 12. Years licensed as a Registered Nurse. 13. Demonstrated leadership that affected the state s health and/or social history. 14. Lifelong contribution in or to nursing practice, education, administration, research, economics, or literature. 15. Must have significant involvement and participation with MNA and /or ANA. 16. Preparation in a formal nursing program, unless entry into practice occurred prior to 1873 when no formal training was available. 17. Enduring achievement, having value beyond the nominee s lifetime. 18. Significant length of time in the profession. 19. Any additional relevant information. 20. Nomination cover sheet. 21. Two digital photographs of the nominee (scanned photos will suffice). Failure to include any of the requested information may result in the submission not being considered for nomination. Remember: The deadline is Monday, January 6, Be sure to include the cover sheet; Introductory Statement (Limit this statement to 300 words); and complete all.