The DAISY Award for Extraordinary Nurses Nomination Form - 1BANN

The DAISY Award is an international recognition program started in memory of J. Patrick Barnes. Pat’s family experienced first-hand the difference his nurses made in his care through clinical excellence and outstanding compassionate care. The family created The DAISY Award to express gratitude to nurses and to enable other patients, families, and staff to thank and honor their special nurses. A branch of the DAISY Award, the DAISY International Neuroscience Nurse Leadership Award, is the World Federation of Neuroscience Nurses' is awarded at the annual Symposium.

Please visit to learn more about Pat's story and how The DAISY Award recognizes Extraordinary Nurses.

The British Association of Neuroscience Nurses (BANN) is a national neuroscience nursing organization whose purpose is to support and enhance the development of competence in neuroscience nursing in the United Kingdom through education, exchange of information, evidence-informed practice and research.

The vision of BANN is to be a leading authority, to inspire passion in nurses to create a future for the specialty. Optimal patient outcomes require nursing to be pivotal in the delivery of a comprehensive framework for neuroscience care with the value of the nursing contribution to the multi-disciplinary aspects of neuroscience care acknowledged as central in healthcare provision.

A DAISY Award for Extraordinary Nurses in Neuroscience is given annually to a deserving neuroscience nurse. The selection criteria are based on the joint values of the DAISY Foundation and BANN. Recipients of the DAISY Award for Extraordinary Nurses in Neuroscience will:

· Demonstrate outstanding neuroscience clinical skills
· Share expertise by educating nurses, patients, and families
· Participate in continuing education and professional development activities
· Model respectful relationships with patients, families, and members of the healthcare team
· Utilize scientific knowledge and innovative strategies in providing care to neuroscience patients, improving safety and patient outcomes
· Serve as a mentor for other nurses

Complete this form to share your story of how a neuroscience nurse leader made a difference in and impacted the field of neuroscience nursing.

1. First name of the nurse you are nominating:*

2. Last name of the nurse you are nominating:

3. Name of the national organization with which the nurse performs a majority of their work or volunteerism.*

4. City where your nurse works:*

5. Country where your nurse works:*

6. Name of direct supervisor of nurse you are nominating:*

7. Email address of direct supervisor:*

8. Please describe a specific situation or story that clearly demonstrates how this nurse made a meaningful difference in the field of neuroscience nursing.Note: If using a mobile device to enter this E-Nomination you can easily enter your story by selecting the microphone button on your device and dictating your story instead of typing.*

Please tell us about yourself.

9. I am a:

10. Your name:

11. Email Address:

By selecting "Yes" and submitting this online form, you agree to The DAISY Foundation and/or its partners collecting and storing the information you submit, including your personal contact information, in accordance with the DAISY Foundation Privacy and applicable law. The DAISY Foundation or the organization where your nurse works may contact you with questions about your submission. To learn more, please read our Privacy Policy.*

Please click the "Submit" button when you are finished entering your DAISY E-Nomination.