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Exploring the professional nurse advocate role in quality improvement: a qualitative study
Liz Lees-Deutsch1, Laura Wilde2, Rosie Kneafsey3
1Professor of Nursing Practice - Centre for Care Excellence, Coventry University and University Hospitals Coventry and Warwickshire NHS Trust.
Background:
the professional nurse advocate (PNA) programme was introduced in 2021 to support nurse wellbeing and resilience after the pandemic through the Advocating for Education Quality Improvement (A-EQUIP) model. However, the impact of PNAs' quality improvement (QI) work remains underexplored.
Aims:
This study aimed to explore the PNA leadership role in QI work and how these nurses develop QI initiatives.
Methods:
A qualitative research design involved semi-structured interviews with eight PNAs. Themes were identified using thematic analysis.
Findings:
The four themes related to: PNA preparedness for QI work and identifying projects; implementing projects and collaboration; monitoring and reporting on QI projects; and impact on patient outcomes, the reach of projects and sustainability. PNAs reported improvements in patient care and experience but challenges in preparedness and support were noted.
Conclusion:
This study emphasises the importance of organisational support, collaboration, time and ongoing transitional training if PNAs are to lead QI projects effectively.
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