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Professional Nurse Advocate.

​Professional Nurse Advocate - The background

Pre-COVID19 data showed that a third of Critical Care Nurses experienced severe burnout, with 86% experiencing one of the three classic symptoms of exhaustion, depersonalisation and reduced personal accomplishment. (Moss et al. 2016).

The pandemic has exacerbated this exponentially leading to a desperate need to prioritise the mental health and well-being of nurses and reduce emotional burnout, (Nicki Credland, Chair of the BACCN, 2021).

In response, Ruth May (Chief Nursing Officer for England) announced in March 2021 the immediate role out of the Professional Nurse Advocate Programme in England starting with 400 critical care nurses, the aim being  that there will be two PNAs in every critical care unit in England. Since the programme was rolled out in April 2021, 450 critical care nurses have either completed or are currently completing their PNA qualification.

About the PNA role 

The Professional Nurse Advocate (PNA) is a registered practising nurse who has undertaken a Level 7 PNA accredited Programme that has been developed around the A-EQUIP model (Advocating for Education and Quality Improvement) initially introduced into Midwifery in 2017. The A-EQUIP model includes Restorative Clinical Supervision (RCS), which research shows has a direct impact on recruitment, retention, staff engagement, compassion fatigue and reducing sickness. The model also has an emphasis on Education and Development and Quality Improvement. All of which will have a positive impact on patient safety and experience.
​The benefits of PNA’s are summarised by Petit et al (2015) 
  • Facilitates professional resilience
  • Supports provision of high quality care
  • Identifies areas for improvement
  • Develops the advocacy role of nurses
  • Underpins strategies to develop and invest in nurses
  • Provides flexibility for local implementation
  • Supports revalidation
  • Improves sickness and absence rates
  • Improve individual well being
  • Decreases stress and reduce burnout
  • Increases enjoyment in work and job satisfaction
  • Increases retention and staff feel valued
  • Improves working relationships and team dynamics
  • Enhances management of work life balance

Resources

NHSE/ NHSI Professional Nurse Advocate webpage 
​CC3N 
Professional Nurse Advocate A-EQUIP Model 
CC3N PNA SOP 02.22.pdf
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