WOCN DAISY Award for Extraordinary Nurses with a Bright FutureNomination Form

WOCN DAISY Award for Extraordinary Nurses with a Bright Future

Nomination Form

The WOCN/DAISY Award for Extraordinary Nurses with a Bright Future is designed to recognize a new tri-specialty WOC certified nurse within the first five (5) years of WOC practice who is destined to make a significant contribution to WOC care as a compassionate clinician, educator, consultant, researcher, administrator, and professional leader.

Eligibility Criteria for the Nominee:

The individual must be nominated by a WOCN member in good standing (current Board members and past presidents are not eligible to nominate an individual).
The nominee must be a current member of WOCN and within the first five years of entry into WOC nursing practice.
The nominee must be tri-specialty WOC certified by the WOCNCB.
The nominee can work within any practice setting.

Timeline:

Nominations are due by Thursday, April 17, 2025.
Nominees will be notified of final decision by Friday, May 16th.
Recipient will announced during the WOCNext 2025.

If you have any questions about this Award, please contact the WOCN Society at info@wocn.org. Thank you!

NOMINATOR SECTION

The following section is intended to gather information about nominator.

Your name*

Your e-mail*

Are you a WOCN member?*

Nominator must be a WOCN member in good standing (current Board members and past presidents are not eligible to nominate an individual).

Yes

NOMINEE SECTION

The following section is intended to gather information about nominee.

Nominee's name*

Name of nominee's facility*

Nominee's e-mail*

Is nominee a WOCN member?*

Nominee must be a current member of the WOCN Society.

Yes

Nominee's certification credentials*

The nominee must be tri-specialty certified through WOCNCB.

Nominee's years of practice*

The nominee must be within the first five (5) years of WOC practice.

Nominee's practice setting*

Nominee can work within any practice setting

SUPPORTING EVIDENCE

The following section is intended to gather evidence from the nominator about how your nominee exemplifies the scope of WOC nursing practice, as defined in "WOC Nursing: Scope and Standards of Practice", 2nd Edition. As a nominator, you are responsible for submitting a short summary (1000 words total or less for all of the below listed sections) providing examples of how your nominee fulfills their role as a WOC nurse, as prescribed in "WOC Nursing: Scope and Standards of Practice", 2nd Edition. To purchase your copy of "WOC Nursing: Scope and Standards of Practice", 2nd Edition, click here: https://www.wocn.org/learning-center/bookstore/.

Description of nominee's role as Compassionate Clinician*

Provide an example of how your nominee uses judgment and critical thinking skills throughout the nursing process to develop and implement individualized compassionate care plans that complement the developmental age of the healthcare consumer and caregiver, are respectful of the patient’s rights, and are congruent with principles of cultural diversity and inclusion to achieve the best outcomes.

Description of nominee's role as Educator*

Provide an example of how your nominee educates healthcare consumers and caregivers; provides orientation, on-the job training, and in-service education to clinical staff; develops protocols and guidelines; and/or provides organized continuing education programs or formal academic education.

Description of nominee's role as Consultant*

Provide an example of how your nominee through communication and collaboration develops partnerships with the healthcare consumer or a group/population of healthcare consumers, and other healthcare providers to coordinate the delivery of individualized care for an individual or specific population based on an assessment of needs, knowledge of current trends and best practices, and an evaluation of outcomes.

Description of nominee's role as Researcher*

Provide an example of how your nominee translates and disseminates current research and integrates evidence-based knowledge into practice to enhance the quality of care; develops evidence-based education programs to improve and standardize care; participates in research studies or quality improvement projects.

Description of nominee's role as Administrator*

Provide an example of how your nominee demonstrates administrative skills by developing services or programs for the delivery of safe, effective, quality WOC care; manages, coordinates, or oversees clinical staff and the delivery of WOC services; utilizes appropriate resources to plan, provide, and sustain evidence-based practices to ensure that practice is safe, effective, and fiscally responsible; recommends process, policy, procedure or protocol revisions.

Description of nominee's role as Professional Leader*

Provide an example of how your nominee demonstrates leadership in WOC specialty nursing by modeling expert WOC care; participates in professional organizations; mentors colleagues to advance WOC practice; encourages innovation in WOC nursing; promotes an environment that supports and maintains respect, trust and dignity for healthcare consumers, caregivers, and healthcare providers; contributes to an ethical practice environment that is conducive to safe, quality, health care.

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