Evidence of Impact

Nurse Engagement

Ignites Extraordinary Compassionate Care
Improves Satisfaction and Retention
Promotes Wellbeing and Resilience

Healthy Work Environment

Celebrates All the Right
Reminds Nurses Why they became Nurses
Builds Team Spirit

Patient/Family Experience

Communicates Profound Gratitude
Reinforces Patient and Family Centered Care
Inspires Community Loyalty

DAISY is an evidence-based form of meaningful recognition: DAISY has been used as a proxy for meaningful recognition in research studies. DAISY has a 21-year history of success, which has provided insights into successful programs of nurse recognition as a form of meaningful recognition, DAISY can impact healthcare organizations in 3 areas:

1. Contributes to a healthy work environment
Click to Jump to References
• 1 of 6 standards of a HWE (AANC, 2005, 2016)
• Focuses on the “right” in organizations versus what is wrong
• Reminds nurses why they became nurses (Lefton, 2014)
• Operationalizes Mission and Vision of compassionate care celebration as a Team (Kelly and Lefton, 2017)
• From Praise to Profits: The Business Case For Recognition at Work (Gallup, 2023)

2. Nurse Engagement
Click to Jump to References
• DAISY Nurses are role models of compassionate care (Lefton, 2012)
• DAISY nominations may contribute to compassion satisfaction (Lefton, 2012)
• Engaged nurses support nurse retention (Kelly and Lefton, 2017; Lefton, 2014)

3. Patient and Family experience
Click to Jump to References
• Over 2 million nominations written to express gratitude (The DAISY Foundation, 2019)
• Improves patient-experience outcomes (McClelland, et al, 2014)
• Supports and demonstrates patient and family centered care (Sweeney, Grant, Lefton, Foreman-Lovell, 2019)
• Fosters loyalty for an organization (Sweeney, et al, 2019)
• Nominations provide information/data to improve patient experience (Clavelle, Sweeney, et al, 2019)

References:

Contributes to a healthy work environment
Links to References:

AACN Healthy Work Environment Toolkit
•Grant, S. (2022). Meaningful Recognition for Nurse Managers. JONA: The Journal of Nursing Administration, 52 (3), 127-128. doi: 10.1097/NNA.0000000000001117.
• Raso, Rosanne DNP, RN, NEA-BC, FAAN, FAONL; Fitzpatrick, Joyce J. PhD, MBA, RN, FAAN, FNAP; Masick, Kevin PhD; Giordano-Mulligan, Marie PhD, RN, NEA-BC, CNOR; Sweeney, Cynthia D. DNP, RN, CNOR, NEA-BC, FAAN Perceptions of Authentic Nurse Leadership and Work Environment and the Pandemic Impact for Nurse Leaders and Clinical Nurses, JONA: The Journal of Nursing Administration: May 2021 - Volume 51 - Issue 5 - p 257-263 doi: 10.1097/NNA.0000000000001010
• Campbell, C., Patrician, Pa., Booth, R. (2020). Generational preferences in the nursing work environment: A dimenionsal concept analysis. Journal of Nursing Management, 28, 927-937. DOI: 10.1111/jonm.13024
• Ambani, Z., Kitney-Lee, A., & Lake, E. (2020). The nursing practice environment and nurse job outcomes: A path analysis of survey data. Journal of Clinical Nursing, 29, 2602-2614.
•Graystone. (2019). Prevent Compassion Fatigue and Burnout With a Magnet Culture. The Journal of Nursing Administration, 49(5), 231–233.
• Raso, Rosanne DNP, RN, NEA-BC, FAAN, FAONL; Fitzpatrick, Joyce J. PhD, MBA, RN, FAAN, FNAP; Masick, Kevin PhD; Giordano-Mulligan, Marie PhD, RN, NEA-BC, CNOR; Sweeney, Cynthia D. DNP, RN, CNOR, NEA-BC, FAAN Perceptions of Authentic Nurse Leadership and Work Environment and the Pandemic Impact for Nurse Leaders and Clinical Nurses, JONA: The Journal of Nursing Administration: May 2021 - Volume 51 - Issue 5 - p 257-263 doi: 10.1097/NNA.0000000000001010
• Sweeney, C. (2019). DAISY Faculty. JONA: The Journal of Nursing Administration, 49 (3), 113-115. doi: 10.1097/NNA.0000000000000721.
• Ulrich, B., Barden, C., Cassidy, L., & Varn-Davis, N. (2019). Critical Care Nurse Work Environments 2018: Findings and Implications. Critical Care Nurse, 39(2), 67–84.
• Stevanin, S., Palese, A., Bressan, V., Vehviläinen-Julkunen, K., & Kvist, T. (2018). Workplace-related generational characteristics of nurses: A mixed-method systematic review. Journal of advanced nursing, 74(6), 1245–1263.
• Sweeney. (2017). The DAISY Nurse Leader Award: Expressing Gratitude for Courageous Leaders Fostering an environment where compassion and courage can thrive. Nurse Leader, 15(1), 45–48.
• AACN. (2005). AACN standards for establishing and sustaining healthy work environments: A journey to excellence. American Journal of Critical Care 14(3), 187-197.
• AACN. (2017). AACN standards for establishing and sustaining healthy work environments: A journey to excellence, 2nd edition. www.aacn.org
• Gallup (2023). From Praise to Profits: The Business Case For Recognition at Work


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Nurse Engagement
Links to References:

• Eddy, Jaime R. BSN, RN; Kovick, Laura MA; Caboral-Stevens, Meriam PhD, RN, NP-C Meaningful recognition, Nursing Management (Springhouse): January 2021 - Volume 52 - Issue 1 - p 14-21
•Sweeney CD. The Value of Recognition: The DAISY Award. Nurs Adm Q. 2021 Jul-Sep 01;45(3):253-261. doi: 10.1097/NAQ.0000000000000478. PMID: 33935209.
• Nair, J., Merring, P., Jones, B., & Guney, S. (2021). An Exploration of Characteristics and Behavioral Traits of DAISY Honorees and Nominees: A Qualitative Study. The Journal of Nursing Administration, 51(1), 26–32.
• Leger, K., Lajoie, D., & Wood, L. J. (2021). Understanding Inpatient Surgical Nurses’ Meaningful Recognition Preferences. The Journal of Nursing Administration, 51(12), 614–619.
• Lefton, C. Strengthening the workforce through meaningful recognition.  NURSING ECONOMIC$. November-December 2012; Vol. 30/No. 6; 331-338.
• Haizlip, Julie MD, MAPP; McCluney, Courtney PhD; Hernandez, Morela PhD; Quatrara, Beth DNP, RN, CMSRN, ACNS-BC; Brashers, Valentina MD.  Mattering: How Organizations, Patients, and Peers Can Affect Nurse Burnout and Engagement JONA: The Journal of Nursing Administration: May 2020 - Volume 50 - Issue 5 - p 267-273.
• Renger, D., Miché, M., & Casini, A. (2020). Professional Recognition at Work: The Protective Role of Esteem, Respect, and Care for Burnout Among Employees. Journal of occupational and environmental medicine, 62(3), 202–209.
• Kelly, L. A., & Lefton, C. (2017). Effect of meaningful recognition on critical care nurses' compassion fatigue. American Journal of Critical Care, An Official Publication, American Association of Critical-Care Nurses, 26(6), 438-444. 10.4037/ajcc2017471 [doi].
• Kelly, L., Gee, P., & Butler, R. Impact of nurse burnout on organizational and position turnover. Nursing Outlook, 69(1), 96-102.
• Kelly, L., Runge, J., & Spencer, C. (2015). Predictors of Compassion Fatigue and Compassion Satisfaction in Acute Care Nurses. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 47(6), 522–528.
• Lefton C. Strengthening the workforce through meaningful recognition. Nurs Econ. 2012 Nov-Dec;30(6):331-8, 355. PMID: 23346731. (Reprinted with permission of the publisher, Jannetti Publications, Inc., East Holly Avenue, Box 56, Pitman, NJ 08071-0056; (856) 256-2300; FAX (856) 589-7463; Web site: www.nursingeconomics.net; For a sample copy of the journal, please contact the publisher.)

 
 

Patient and family experience
Links to References:

• Sweeney CD. DAISY: Affirmation of Gratitude in Times of Pandemic. The Journal of Nursing Administration. 2021 Mar;51(3):123-125. DOI: 10.1097/nna.0000000000000981. PMID: 33570367.
• Sweeney CD. Expressing Gratitude for Transitions, for Relationships, and for the Hope They Bring. J Nurs Adm. 2021 Oct 1;51(10):481-483. doi: 10.1097/NNA.0000000000001050. PMID: 34550101.
• Sweeney CD. DAISY: Gratitude That Transcends the Moment. The Journal of Nursing Administration. 2020 Oct;50(10):499-501. DOI: 10.1097/nna.0000000000000923. PMID: 32925660.
• Sweeney, CD, Grant, SM, Lefton, C, Foreman-Lovell, M. Expressing Gratitude: Findings From Patients and Families Who Nominate Nurses for The DAISY Award® Nurse Leader: February, 2020 - Volume 18, Issue 1, p 35-39.
• Clavelle JT, Sweeney CD, Swartwout E, Lefton C, Senem G. Leveraging technology to sustain extraordinary care A qualitative analysis of meaningful nurse recognition. The Journal of Nursing Administration. 2019;49(6):303-309.
• Barnes, & Barnes, M. (2018). AONE Collaboration Kick-Started 1 Million DAISY Nominations. Nurse Leader, 16(5), 300–303.
• Grant S, Johnson B. Advancing the practice of patient- and family-centered care. Nurse Leader. 2019;17(4):325-329.