Professional Nurse Advocates: A national survey evaluating the impact of the implementation programme

Liz Lees-Deutsch, Rosie Kneafsey, Shea Palmer, Amanda Rodrigues Amorim Adegboye, Aiden Chauntry, Natasha Bayes

Research output: Contribution to journalArticlepeer-review

Abstract

Aims: To explore the extent to which Professional Nurse Advocates have been able to deliver restorative clinical supervision, and the impact on nurses receiving this.
Design: Cross-sectional questionnaire, underpinned by Laschinger’s (2001) model of empowerment, was distributed across England in 2022. The focus was on the effectiveness and impact of restorative clinical supervision on nurse empowerment, and personal effectiveness.
Methods: questionnaire sections included demographics; 14 questions to understand Restorative Clinical Supervision; respondents’ abilities to fulfil professional nurse advocate roles and responsibilities, and an open text section with three questions. Demographic data were analysed using SPSS. Open text responses were coded to generate themes.
Results: Restorative clinical supervision was rated very positively in terms of enhancing structural empowerment, psychological. There were 302 survey responses (nurses n=73, Professional nurse advocates n=214, Trust Leads n=15) of whom most were female and identified as ‘white’ ethnicity. Restorative Supervision nurse respondents were more ethnically diverse than professional nurse advocates and Trust Leads. Three primary themes were identified within the open-ended questions; (i) Conditions Necessary for restorative supervision; (ii) Nurse Engagement & Organisational Commitment to restorative supervision and (iii) Reinvigoration from supervision. ‘Adequate time’ was key to being able to deliver the role, plus release from clinical duties to attend supervision.
Conclusion: This is the first reported and evaluated national review of the Professional Nurse Advocates programme, a professional clinical leadership role, offering restorative support with global relevance for nursing.
Implications: Since the roll out of the programme 10,933 training places have been funded representing significant investment. Since April 2022, 54,367 Restorative Clinical Supervision Sessions, 34,105 Career conversations and 2,770 QI projects were reported in progress to March 2024.[300 words]

Impact: The findings from this study show that the programme has potential to address underlying global nursing concerns linked to workforce wellbeing, retention, and recognition of nurse impact.
Original languageEnglish
Number of pages26
JournalInternational Journal of Advanced Practice
Publication statusSubmitted - 10 Jun 2024

Keywords

  • Professional Nurse Advocate
  • Restoration
  • Supervision
  • Nurses

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