Error messagePlease DO NOT submit more than once, If you need to make changes to your original submission, please send your request to practicebasededucation@uhn.ca Nominees should exemplify and promote the following: A supportive learning environment that promotes feelings of safety to ask questions, takes initiative, and address conflict thereby enabling professional development. Opportunities for continuous improvement in clinical practice through the design and implementation of initiatives that enhance the knowledge and skills of nurses along the learning continuum of novice to expert. An environment that facilitates lifelong learning. An innovative way of teaching/coaching that meets "learner" needs. Positive leadership with staff and students. Nominee Information Name of Nominee * Unit/Department * Position * Nominee's Email * Nominator Information Name of Nominator * Unit/Department * Position * Nominator's Email * Phone * Nomination Information Nominating for the following (choose one) * - Select -The Betty Watt Prize for Courageous Leadership in NursingThe Medical Staff Association Award in End of Life Care (Nurse)Associated Medical Services Award for Exemplary End of Life Care (Physician)The Janine Boston Award for Nursing ExcellenceThe Jill Smirnis Award for Outstanding Patient Care in Emergency ServicesThe Jill Smirnis Award for Excellence in Cardiology Nursing How long have you known the nominee? * 0-1 year 1-2 years 2-3 years > 3 years Please provide examples illustrating how the nominee demonstrates the following Excellence in patient-focused care * Leadership in improving practice * Collaboration with colleagues and members of the multidisciplinary team to achieve quality patient/family outcomes * Consistent commitment to professional development * Additional Comments Please add any additional comments that you would like to provide on the nominee *