It’s a nursing excellence award. Pretty prestigious. You can be nominated by a patient or an employee. They write down why they think you are deserving of one on a card and then a panel chooses who gets awarded. There’s even a runner-up kind of award if the nurse was in the final considerations but didn’t actually win.

One is all you need.

Don’t let your dreams be dreams.

That space before 60 is crucial to the answer, Dontchaknow.

What’s that stuff in the “after” pic…?

I think the green one is misspelled. It reads:

“No llores porque termino, sonrie porque sudecio”

That almost makes sense. It should be “sucedio”.

It translates to “don’t cry because it’s over, smile because it happened”

I thought “what a cute novelty” until I saw the price

Are you defining Americans as “people that live on the American continent and the Caribbean” or “people that live in the United States of America”?

I think OP means the former.