Professional Nurse Advocate (PNA) Training Programme Webinar - #PNA Thursday 5 August 2021 #teamCNO
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Professional Nurse Advocate (PNA)
Training Programme Webinar
Thursday 5 August 2021
#teamCNO #PNA #Professional Nurse Advocate #PNAdvocates #PNAWebinar
NHS England and NHS Improvement
Hilary Garratt CBE
Deputy Chief Nursing Officer for England
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Today’s Agenda
Time Title of session Speaker
14:30 – 14:40 Welcome & Introductions Hilary Garratt CBE
National Update
14:40 – 15:00 The Role of the Professional Nurse Advocate (PNA) Emma Wadey
15:00– 15:20 THE A-EQUIP and PNA Role in Nurses Wellbeing Ciara Wharton
15:20 – 15:40 Implementing Professional Nurse Advocates – RWT approach Vanessa Whatley
Led By: Andrea Stebbings
15:40 – 16:25 Roundtable Discussion with Professional Nurse Advocates
Scott Topping, Siobhan Warne
and Jemma Mulryan
16:25 – 16:30 Q&A Hilary Garratt CBE
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❑ The webinar will be recorded for those who could not attend
❑ All questions will be answered at the end of the webinar
Housekeeping
❑ Delegates are welcome to type questions into the chat box
throughout the duration of the webinar
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Hilary Garratt - Deputy CNO Introduces:
The Role of the Professional Nurse Advocate (PNA)
Emma Wadey
Head of Mental Health Nursing, NHSE/I
5 | Presentation title
The Role of the Professional Nurse Advocate (PNA)
Emma Wadey
Head of Mental Health Nursing
NHS England and NHS Improvement
August 2021
Professional Nurse Advocate: Strategy
Purpose
The Professional Nurse Advocate (PNA) is a leadership and advocacy role designed to support nurses to deliver safe and effect ive practice. A key aspect of this model is to
teach nurses to deliver restorative clinical supervision in their areas of practice. The implementation of this program across nursing will support delivery of the Long term
plan for the NHS and enable recovery and restoration following the COVID-19 Pandemic. It is also supports delivery of the following CNO objectives: 1- to support health
and wellbeing of Nurses, 2- Compliance with IPC procedures 3 – Nursing workforce, attract, retain and celebrate nurses.
Ambition Stakeholders
To train 5000 nurses across all healthcare settings ensuring all nurses have access to regular
and effective Restorative Clinical Supervision (RCS) in practise in the next 12 months. • Currently 15 Higher Education Institutes selected for Phases 1,2 and
3.
• Regional Chief Nurses
PNA Places • Directors of Nursing
Resources Research & Evaluation
Phase 1 03/04/21 • Nursing professional bodies and networks
• Program Lead – Emma • Independent research &
436 critical care • Nurses in point of care practice roles
Wadey economic evaluation
• Regional senior PNA
Phase 2 04-06/21 advisors
1150 MH, • PNA Practice Networks/ Benefits
Children's, LD & Good practice guides
Community nurses • E –Learning modules on • Provide a framework for the consistent delivery of effective and psychological safe clinical supervision
role of PNA & A-Equip • Deliver professional development at at level 7 (Masters level), with recognised national qualification in
Phase 3: 04-03/22 Model leadership and advocacy
280 H&CJ Nurses • Bespoke webpage • Equip Nurses to ensure continuous quality improvement in practice
250 International • Booster sessions • Previous research of the PMA role and restorative clinical supervision has led to the identification of the
Nurses • Animation and practice following benefits; a reduction in sickness absence, increased staff satisfaction, improved patient
3000 TBA by area specific films experience, reduced turnover, improved team working relationships and increased recruitment of
Regions students.
NHS England and NHS Improvement
PNA Allocation Across England – 30 July 2021
Total Number of PNAs completed training 997
Total Number of PNAs in training 778
Total Number of PNAs waiting to start 301
Total PNA places awaiting allocation 2,929
Total 5,005
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What did nurses say…
‘’I feel it offers an excellent opportunity to develop skills in both
supervision and leadership, it gives me an opportunity to support
colleagues across the workforce in managing difficult or stressful
situations and to really make a difference.”
Chloe Harrison
NHS Bristol, North Somerset and South Gloucestershire “I am excited at the prospect of being a Professional Nurse Advocate and
make an impact on the profession and improve the quality of care and
experiences through Advocacy. Coming from a BAME community myself,
this will be a good opportunity for me to advocate for this group who have
evidently been disproportionately affected by COVID 19. If I can contribute
by reducing burn out, stress or mental health problems amongst my
colleagues that would be brilliant and of great professional satisfaction for
myself.”
Flavian Nyamushonyongora
Coventry and Warwickshire Partnership NHS Trust
“By being a Professional Nurse Advocate I can support colleagues during a worldwide
pandemic to reduce stressors and burnout through prioritising clinical supervision and
line management supervision to prevent work stressors, burnout and manage a good
work/homelife life balance.”
Anne Nkurunziza
Greater Manchester Mental Health NHS Foundation Trust
Next Steps
• Development of E-Learning packages- Role of PNA & A-EQUIP
• Establish Communities of practice for PNAs
• Development of good practice and PNA implementation guide
• Commission of independent research
• Economic evaluation
• PNA Films
• PNA Booster session
w ww.england.nhs.uk
10Contact Details
• Webpage: https://www.england.nhs.uk/nursingmidwifery/delivering-the-nhs-ltp/professional-nurse-
advocate/
• Email: england.nursingpna@nhs.net
11 | Presentation titleHilary Garratt - Deputy CNO Introduces:
THE A-EQUIP and PNA Role in Nurses Wellbeing
Ciara Wharton
Division PDN Critical Care & Surgery
Buckinghamshire Healthcare NHS Trust
12 | Professional Nurse Advocate WebinarThe A-EQUIP & PNA Role in
Nurses Wellbeing Ciara Wharton PNA
Normative
Accountability
Formative Patient Restorative
Learning Support.
Personal
Action for
Quality
ImprovementWorkplace Adversity NHS England Nursing Workforce Crisis 83,591 FTE Vacancies Gov Target 50,000 2024/25 Community & Mental Health largest deficits FTE 15% Trained outside UK 80% RN state care compromised due to shortages National Workforce - Health Presenteeism at 84% Leaveism at 66% High-cost implications for organisation & Individuals Productivity Errors Workplace stress 59% Poor management style 32% Leave NMC register Work Related Stress 26.4% Disillusioned with quality of care 15.9% No time to care
Professional Nurse
Advocate Role
Advocates for Nurses
& Health Care Workers
• Empowering Autonomy & Feeling
valued
• Professional Development & Growth
• Reflective practice for revalidation &
lessons learned
• Restorative clinical supervision
wellbeing ownership & resilience
• Core conditions for work wellbeing
“US” “WE” “ME”Normative
Accountability
Advocacy and
Education for
Formative Patient Restorative
Quality
Learning Support.
Improvement in
Practice
Personal Action A-EQUIP
for Quality
ImprovementPNA Deploying A-EQUIP Model for Workplace Wellbeing
Actualising Self
Professional growth Self-awareness
Specialist skills & knowledge Reflective practice
Formative Normative
Life-long learning Respected profession
Accomplishment Professional revalidation
Wellbeing
Autonomy
Relationships
Self sufficiency
Social Connections
Quality Restorative Clinical
Improvement Supervision
Meaning
Positive Emotions
Engagement
A-EQUIP Model & Theory of Wellbeing adapted from NHS 2017 & Seligman PREMA 2012 by Ciara WhartonReferences Jarden, R. J. Sandham, M. Siegert, R J.; Koziol-McLain, J. (2020a) ‘Intensive care nurses’ well-being: A systematic review’, Australian Critical Care, 33(1), pp. 106– 111. doi: 10.1016/j.aucc.2018.11.068. Jarden, R. J. Sandham, M. Siegert, R J.; Koziol-McLain, J. (2020b) ‘Conceptual model for intensive care nurse work well‐being: A qualitative secondary analysis’, Nursing in Critical Care, 25(2), pp. 74–83. doi: 10.1111/nicc.12485. Kinman, G. and Grant, C. (2020) Presenteeism during the COVID-19 pandemic: risks and solutions, Occupational Medicine, https://doi.org/10.1093/occmed/kqaa193 May, R. (2021) ‘I am pleased to announce the roll-out of the professional nurse advocate programme [Online]. Available at https://www.nursingtimes.net/opinion/i-am- pleased-to-announce-the-roll-out-of-the-professional-nurse-advocate-programme-05-03-2021/ National Health Service, England (NHS) (2017) A-EQUIP: a model of clinical midwifery supervision. London: [online] Available at: https://www.england.nhs.uk/publication/a-equip-a-model-of-clinical-midwifery-supervision/ [Accessed: 05 March 2021]. Nursing Midwifery Council (2021) NMC Register April 2020 to March 2021 [online] Available at https://www.nmc.org.uk/globalassets/sitedocuments/data- reports/annual-2021/0005c-nmc-england-register-2021-web.pdf Nursing Midwifery Council (2020) NMC Register April 2019 to March 2020 [online] Available at https://www.nmc.org.uk/globalassets/sitedocuments/nmc-register/march- 2020/nmc-register-march- 2020.pdf [Assessed: 10 June 2021]. Proctor, B., (1986) Supervision: A Co- operative Exercise in Accountability in: Marken, M., Payne, M. (eds.) Enabling and Ensuring – supervision in practice National Youth Bureau, Council for Education and Training in Youth and Community Work. Leicester, UK. Seligman, M. E. P.(2012) Flourish: A visionary new understanding of happiness and well-being. New York: Simon and Schuster. The Chartered Institute of Personnel and Development (CIPD) (2021) Health and wellbeing at work report, April 2021 [online] Available at https://www.cipd.co.uk/Images/health-wellbeing-work-report-2021_tcm18-93541.pdf [Accessed: 27 April 2021] The Health Foundation (2020) Building the NHS Nursing workforce in England, workforce pressure points, December 2020 [online] Available at https://www.health.org.uk/publications/reports/building-the-nhs-nursing-workforce-in-england [Accessed: 24 July 2021] The Kings Fund (2020) ‘The Courage of Compassion Supporting nurses and midwives to deliver high-quality care’, [online] Available at: https://www.kingsfund.org.uk/publications/courage-compassion-supporting-nurses-midwives [Accessed: 06 March. 2021].
Hilary Garratt - Deputy CNO Introduces:
Implementing Professional Nurse Advocates – RWT approach
Vanessa Whatley
Deputy Chief Nurse
The Royal Wolverhampton NHS Trust
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Hilary Garratt - Deputy CNO Introduces:
A Roundtable Discussion, led by: Andrea Stebbings
Andrea Stebbings Jemma Mulryan
PNA Module Lead and Lecturer Mental Health Practitioner
University of Plymouth Cheshire and Wirral Partnership NHS Foundation Trust
Siobhan Warne Scott Topping
Theatre Matron and Critical Care Nurse RePAIR Fellow and Senior Development Nurse
Somerset NHS Foundation Trust South West London and St George's Mental Health NHS Trust and HEE London
35 |Our Links PNA Central Team Inbox england.nursingpna@nhs.net PNA Webpage https://www.england.nhs.uk/nursingmidwifery/delivering-the-nhs-ltp/professional- nurse-advocate/
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