The Professional nurse advocate (PNA) checklist forms part of the NHS England and NHS Improvement national PNA implementation guidance. It summarises the duties a trained PNA should discharge in their role.
To support healthcare colleagues
- advocate for patients, reinforcing that every nurse’s role is to support patients and their families
- in creating care plans collaboratively with patients and/or families in a challenging situation, such as supporting a patient to make safe choices based on the best available evidence, using the restorative function of the A-EQUIP model
- demonstrate inspirational, motivational and visible leadership in the workplace
- support change in clinical area(s)
- role model promoting psychological safety and situational awareness in own practice.
- discuss any professional issues, including clinical incidents, team dynamics, stress, burnout, instances of bullying, career progression, interviews and quality initiatives, as well as personal issues
- following a traumatic or stressful event, allow (or create) the opportunity for reflection to reduce stress and enable learning, limit compassion fatigue and improve confidence
- portray an understanding of personal and professional resilience, developing this attitude in others.
- to develop a nurse’s ideas and actions for quality improvement and service development
- hold reflective discussions about revalidation and career development, preparation for appraisal
- coach staff through reflection on incidents they may have experienced, with a focus on the system and processes.
Promoting the PNA role:
- support aspirant PNAs and PNAs in training, including by providing support and supervision
- collate data on the effectiveness of restorative clinical supervision (RCS) for staff, and the benefit of the PNA role.
Scheduling meetings with healthcare staff:
- arrange any individual meetings at a mutually convenient time
- identify a private and confidential meeting place
- mutually agree how long the RCS/meeting will last
- agree ground rules for the session and document these
- retain and confidentially store any notes taken at the meeting.
Personal, professional development:
- participate in and lead on quality improvement programmes
- engage in booster sessions following PNA training.