Recognizing Your Nurses

Ways to show your staff, peers and coworkers you care. Nurses Announcements Archive Article

"To fully engage employees and make them feel like they want to push the company forward just like the CEO, they need to be recognized. Humans have this need to be recognized and when they are, they perform better." (Apfelbaum, 2015)

Recognizing Staff

I've never been in a management position, but I have had some great (and admittedly not so great) nurse leaders and managers over the years. While many management styles exist and several factors weigh in on what makes a great manager, staff acknowledgement is one major piece of the puzzle. It feels good to be recognized, to know your efforts are not going unnoticed - especially in a field like ours. We are always trying our best. And who doesn't like giving or getting a little gratitude?

My current hospital and nurse leader are both exceptional in staff recognition. During my first few weeks on the job I was shocked to see all the activities and small gifts they had planned for nurses week. A luncheon, fun photo booths, gifts of pins, hospital logo bags, phone chargers, and a daily coffee/tea cart with snacks. I had to keep my jaw from touching the floor below me when the man pushing the coffee cart introduced himself to me as the CEO of our hospital. Impressive. And he didn't seem to mind the least bit when we asked for extra creamer.

My nurse leader has far too many people to keep track of, but somehow she does it. She knows all of our names, our stories, our struggles and keeps it all straight. She and the nurse educator on the unit frequently team up to organize potlucks for various occasions and cancel staff meetings to allow for more time with family during the holidays. They have even dragged in a cooler full of gourmet ice pops to boost unit morale (a crowd favorite). Yes, there is such a thing a gourmet ice pops...who knew? They come around our unit and personally deliver handwritten cards for the winter holidays and also for nurses week. It may not seem like much to some but I was extremely grateful to be appreciated, especially after my last job where the phrase "thank you" was few and far between.

Anticipating Unit Needs

My nurse leader and nurse educator have a great open door policy. You can stop into their office anytime. They always seem to greet you warmly and make time for any issues that come up, despite how jam packed their day might be. They are frequently seen around the unit, but never in a micromanaging, hovering sense. No one cowers or hides (as I've seen on other units) upon their arrival. They are simply around for whatever you may need.

Our manager and educator never hesitate to help on the floor when asked. They are quick to help cover lunches, hang chemo or grab a blanket for a patient. While our staffing has greatly improved over the last six months it was bad for a while. However, it would have been far worse if they were not willing to roll up their sleeves and help. Full disclosure, they were both floor nurses on this unit years ago, working their way up. So they know the demands of our busy outpatient unit well.

Policies and procedures frequently change, but the ability to help your fellow nurse and grant a few patient requests should always be in well within your scope of practice. Being able to sense the needs of a poorly staffed unit and coming to assist is one of the biggest acknowledgements you can provide your nurses. It shows staff you are attune to their efforts and that you are not above helping to ease the overall flow and reduce stress levels. While this assistance can be difficult to provide in between your already busy work day, it certainly does not have to be a frequent occurrence. A little goes a long way. A lot of small tasks can be done with only five minutes to spare. This kind of availability can increase the trust between management and staff and can only help retain those who appreciate the extra effort.

Recognizing Peers & Coworkers

It sounds simple, but a quick affirmation to anyone you work with can make a huge impact and change their day. Taking a brief moment to thank someone for going the extra mile or showing support for a job well done can make those you work with feel incredibly appreciated.

At my current position we can write each other 'kudos' cards. A stack of blank brightly colored index cards and a submission envelope are always available in the nursing lounge. Anyone from any area of the department can write or receive a 'kudos' card. At each monthly staff meeting the cards are read and each recipient is then able to pick a prize out of a basket put together by our nurse leader and educator. The best part is the prizes are actually something you might want: full size chocolate bars, lunch bags, fun post-it notes, bookmarks, etc. A small yet very meaningful ritual where gratitude is the main theme. I find the kudos cards especially helpful for those times where it's so busy that you may not have time to acknowledge someone in the moment but do not want their actions to go unnoticed.

Sharing Ideas of Recognition

There are so many creative ways to show your staff, peers and coworkers you care. Taking this time can change a coworkers outlook on a previously overwhelming day, change their mood, brighten their day and can also improve their future performance. Positive reinforcement is a powerful tool.

What are the ways your units express gratitude and acknowledge staff? What are your ideas for new ways to maintain this culture of recognition?

References:

Apfelbaum, J. (2015, December 15). 10 Creative Ways To Recognize Your Employees. Retrieved from Forbes Welcome

Specializes in Hospital medicine; NP precepting; staff education.

d'aww shucks.

Specializes in SICU, trauma, neuro.
To above posters:

I think OP was referring to middle managers who can only do so much to recognize staff. Can you credit a middle manager who hits the floor with you and makes an effort to give praise or recognition, as does OPs managers?

Or does the executive management's budget for staffing really negate everything that a supportive manager does for their staff/unit? Should the middle manager just give up efforts to show appreciation?

It costs nothing to back up your staff. It costs nothing to encourage safe clinical care over pandering to unreasonable people. It costs nothing to fight for better staffing...it might be a futile fight, but at least staff knows she tried. I for one would appreciate a push for better staffing even if we don't get it.

Most of the practices I appreciate my manager so much for are doable by anyone. It's just that a lot of managers wouldn't. Can't have bad customer service scores ya know...so just ask how high when a family says "Jump."

Specializes in Pediatric & Adult Oncology.
I prefer to be recognized monetarily.

Fair enough...wouldn't we all. But in reality with only so much of the much frequently discussed "budget" to go around - our efforts are usually not recognized with a large bonus (if only). Money is great, but when that's not available some type of recognition feels better than getting neither.

Specializes in Pediatric & Adult Oncology.
I think everyone realizes that, but your previous post dismissed the OPs ideas for middle managers doing their part.

I would rather support OP's effort into writing and submitting suggestions (for a part of the picture) then to respond with a "yeah but".

Thanks for your comments and support. I'm a new writer to the site and putting your ideas out there can be a little intimidating. Going through the comments is a whole other story.

I have worked on many units where there was absolutely no attention paid to recognition - and honestly I didn't even know what I was missing until I got it. I'm well aware that we would all love more money instead of praise, but that's usually not a possibility. So, when middle management does go out of their way to show appreciation in ways they can, I take it for what it's worth and know they are trying.

Specializes in Pediatric & Adult Oncology.
I work under who I call the Ernest Shackleton of nurse managers. She supports us when conflict arises, be it with families or attending physicians. She encourages us to call security if at any moment we feel unsafe or even uncomfortable -- she recognizes that a verbally abusive family member is going to distract us from patient care. Not just physically aggressive ones. She has fought and been granted more staff during budget planning, even permission to hire during a hiring freeze. And get this: when we are critically understaffed, she and the assistant manager work the unit.

Don't get me wrong, I love cookies. Especially when there are many of them. :cheeky: But how I feel appreciated is -- to use the Shackleton reference again -- to have a leader who will get in a tiny boat and row through the treacherous Antarctic oceans to help her staff. Not one who tells us to be Nurse, Waitress, Concierge, Diplomat, and Professional Gluteus Maximus Kisser...that we will like it...now have a cookie.

Agree with a lot of what you said, especially about having a leader who is willing to paddle upstream for their unit. Many managers are not willing to work the floor - or simply do not possess the skills to do so. I've worked under a few managers who had no experience in the field they were hired as a manager in to. A leader who stands up for the team (instead of just telling them who to be, how to act and how much grief to take) deserves recognition just as much as her team does.

Specializes in Pediatric & Adult Oncology.
Fair enough. I did imply there is value in it, but I feel more value and a better investment is to invest in employees through support.

There is a lot of truth to that - support is key. Maybe I did not express my thoughts well, but that is exactly what I feel my current manager provides. Her availability, willingness to help on the floor and small gestures all convey an overwhelming sense of support and appreciation. We all know that many management styles exist (and with your support in an area I have never been in - management) I appreciate your feedback. What I do know is that every unit is different and it's certainly not a one size fits all. Yes, promoting a culture of safety is imperative. Why is a culture of gratitude any less important? Can they not coexist?

Specializes in NICU, PICU, PCVICU and peds oncology.

I'll admit that the management team of my unit do occasionally do things to prop up morale, such as making waffles for breakfast for the team on duty (very rare occurrence), and once in awhile send out an email commending us for our hard work. But those emails seem mildly patronizing to me, because for every one of those, we get a dozen or more telling us what we're doing wrong, and manifold more "we're desperate for staff of both shifts for the next week" ones. Our physician group will bring in pizza on Fridays and pastries on Saturdays (for some of the staff) but only for the day shift. Our managers do not come out of their offices to help when the unit is falling apart, mainly because they can't do what we do - they don't know how - but also partly because they've got more important things to do. The only time this changes is in the event of a mass casualty, because they know we're going to get blow-back from the wards if we force transfers of patients they've already said they can't take. It's not enough to talk the talk. At some point you have to walk the walk.

I have found that the best and least expensive way to recognize an employee individually is to write them a thank you letter and have it sent to their home.

I personally use the app Felt and hand write thank you cards on my iPad in my free time and send them on. Even though it is not live ink it is still my handwriting and I can customize the cards with pictures or whatever. Sending these cards makes a HUGE impact because it singles them out to let them know you created something unique for them without embarrassing them in public where social pressures may require them to shrug it off.

The fact that no one writes letters anymore really allows it to stand out.

Specializes in NICU, ICU, PICU, Academia.

1) Love the Shackleton reference. He is one of my heroes. Read Lansing's book Endurance when you get the chance.

2) In my experience, all of the recognition stuff that DOES happen, happens about 75% for the day shift, 25% for nights on an individual basis, more like 99%/ 1% on a corporate level.

Specializes in Pediatric & Adult Oncology.
1) Love the Shackleton reference. He is one of my heroes. Read Lansing's book Endurance when you get the chance.

2) In my experience, all of the recognition stuff that DOES happen, happens about 75% for the day shift, 25% for nights on an individual basis, more like 99%/ 1% on a corporate level.

That's very true - night shift never seems to receive the same recognition. A few nurses where I work started a night shift committee. They ensure that they get/plan all of the same activities the day shift gets to enjoy. They even recently pushed for (and actually got) food trucks to come by during the night - so the night shift can have a decent hot meal when our other facilities are closed or have limited menu items. The night shift committee is a great idea - I wish someone would have thought of it when I was on night shift for what seemed like forever. I was definitely not cut out for those hours... and was far too sleepy to ever come up with a great idea like that lol

Specializes in NICU, ICU, PICU, Academia.
That's very true - night shift never seems to receive the same recognition. A few nurses where I work started a night shift committee. They ensure that they get/plan all of the same activities the day shift gets to enjoy. They even recently pushed for (and actually got) food trucks to come by during the night - so the night shift can have a decent hot meal when our other facilities are closed or have limited menu items. The night shift committee is a great idea - I wish someone would have thought of it when I was on night shift for what seemed like forever. I was definitely not cut out for those hours... and was far too sleepy to ever come up with a great idea like that lol

This is the topic of my MSN and DNP research. I publish and present on topics related to shift work and nurse fatigue.

I prefer not to be referred to as " YOUR nurse" .. unless I am administering care to you within the nurse- patient relationship. Only my patients own me.

Otherwise.. please refer to me as you would any other professional.