Professional Nurse Advocate Sarah Coltman/ Jenny Hayes/ Rachel Wade/

Professional Nurse Advocate Sarah Coltman/ Jenny Hayes/ Rachel Wade/ Lisa Walby

What is the role of Professional Nurse Advocate (PNA)? ‘Support staff through a continuous improvement process that aims the build personal and professional resilience, enhance quality of care and support preparedness for revalidation’ NHS England 2017 Provide Leadership Understand challenges & demands on staff Support staff to deliver quality improvement initiatives A-EQUIP model (NHS England, 2017) Facilitate Restorative clinical supervision Build trust provide effective advocacy PNA Support staff to develop ability/effectiveness in clinical role by validating clinical actions or discussing consequence of clinical error Actively listen to colleagues Focus on development of skills through education Provide professional care, compassion and support

Professional Midwifery Advocate (PMA) A-EQUIP (advocating for education and quality improvement) model introduced April 2017 as a response to the removal of statutory supervision Need for change became apparent from significant failings in midwifery and health profession. (Francis Report (2013), Mid Staffs and the Kirkup report (2015) and investigations into Morecambe Bay) The PMA is a qualified midwife who has undertaken further recognised training provided by a higher Education Institute. (NHS England, 2017) The A-EQUIP model aims to: ‘Facilitate a continuous improvement process that values midwives, builds their personal and professional resilience, and contribute to the provision of high-quality care.’ (NHS England, 2017) The PMA leadership role was inspired by Proctors three function model of supervision; Restorative- focus on health and well being, support professionals working with stress/distress Normative managerial- focus on monitoring and evaluation, explore quality control aspects of practice Formative education- focus on development of knowledge and skills (Proctor 1986)

What training do the PNA receive? Level 7 accredited programme – includes academic assessment, poster presentation and competency portfolio Initial programme launched with 400 critical care nurses nationally – aiming for 2 per critical care unit in England. First of its kind for adult nurses in England. This will follow up with a roll out to more than 1000 nurses from adult learning disabilities, children and young people and adult acute mental health teams

Role of the PNA in Critical Care Northumbria 4 PNA – will be 3 All Critical Care Staff will be offered 3 Restorative Clinical supervision (RCS) sessions per year Act as a role model Provide visible leadership Improve working relationships and team dynamics Positive impact on staff wellbeing

Benefits of PNA MDT relationships Physical and emotional wellbeing Valued Reduction in stress Reduction in burnout Improves job satisfaction

How do we measure it? SMART goals Questionnaire

Restorative Group Supervision(RGS) Provides staff with safe space Consider experiences of care through reflective discussion Open, honest, confidential feedback Positive impact on staff wellbeing Staff feel valued Reduction in stress and burnout Helps staff manage work life balance

Format of RCS session All staff offered 3 sessions per year Each session lasts 2 hours Maximum 8 staff per group Safe space Group contract formulated Check in Discuss themes/ issues raised in session Action plan Check out Time should be rostered and staff should not return to work following session 1:1 sessions available via referral

PNA – So Far Audit staff before implementation of role (Re audit once role established) Inbox for referrals National WhatsApp PNA group Relationship with NHCT PMA Teaching Critical Care team about PNA role

What’s Next Commence RCS sessions Referral for 1:1 sessions Mental health first aid training Training for more PNA in Critical Care NoECCN PNA group Achieve CQC recommendations

Barriers Attitudes of participants Availability of PNA Time and space Buy in from management Rostered time for staff to attend

Any Questions?