Researchers in this tradition have used the WAMI Faceted Work and Meaning Inventory Steger et al. 2012, which was the most widely adopted measure of meaningful work among the articles we reviewed. The scale items with subscales capturing three dimensions Positive Meaning, Creating Meaning Through Work, and Happiness numbers from the survey are surprisingly consistent. Every two years for four decades, about a third of Americans say they are “very happy,” and about half say so. The final model explained a significant proportion of variance in both meaningful work 49 and employee engagement 65. Relative weight analyzes showed that job variety was the most important job. Meaningful work and employee engagement have been the subject of increasing interest in organizational research and practice in recent years. Both constructs have been shown to influence important organizational outcomes, such as job satisfaction, well-being, and performance. Only a limited amount of empirical research, we did not find a statistically significant correlation between manager meaningfulness and joy at work Total Score and Employee Engagement Escore, r, 0.216, NS n, 28 There was no of significant correlation between manager meaning and joy at work Total score and employee perception of managers Mscore, s, 0.227, NS n, Analysis of staff survey questions revealed similar themes: humanizing the patient , stimulate conversation or connection, purpose, joy, meaningful work, compassion and empathy. Conclusion Patients and surrogates felt that the photographs simulated conversations with providers, increased their sense of dignity, and made them feel better. Finding purpose, meaning, fulfillment, and joy at work has proven to be an important consideration for employees, the organization, and society as a whole. Some theories have focused on how people experience a vocation or spiritual endeavor through a journey of self-transcendence. Various predictors of,