You may want to observe these nurses who get so many thank-you's in action. Identify what it is that they are doing that you are not. Then incorporate that into your practice. Patients don't always recognize excellence in quality care. What they pick up on are those other little things that the caregiver does. Continue with the excellent quality care that you provide while adding these other little things and you will "knock their socks off"! Also make sure that you take care of yourself. We can't meet others needs if our own are not met.