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The Professional Nurse Advocate's Handbook

Liz Lees-Deutsch (Edited by), L Lees–Deutsch (Author), Emma Wadey (Edited by), Rosie Kneafsey (Edited by)

9781394308071, Wiley

Paperback / softback, published 9 July 2026

224 pages
22.9 x 15.3 x 1.5 cm, 0.68 kg

Detailed handbook on the vital role of Professional Nurse Advocate

The Professional Nurse Advocate’s Handbook is the first book to bring together a diverse range of voices and ideas that illustrate how the Professional Nurse Advocate (PNA) role is being applied across different settings. Across eight chapters, this book weaves together short case studies from practice with broader reflections on the origins and purpose of the PNA role.

Written by a team of highly qualified authors working in practice, The Professional Nurse Advocate’s Handbook discusses:

  • The A-EQUIP model, nurse identity and belonging, and the leadership frameworks that enable PNAs and the nurses they work with to flourish
  • Restorative clinical supervision, which is at the heart of the PNA role
  • Listening, supporting, and creating the conditions for reflection and growth
  • Building communities of practice, cultivating compassion, and focusing on quality improvement

An essential read for current and aspiring PNAs, The Professional Nurse Advocate’s Handbook also provides a valuable resource for those involved in nursing education and practice looking for strategies to sustain the wellbeing of the nursing workforce and shape a compassionate culture within healthcare.

About the Editors x

Notes on Contributors xii

Foreword xv

List of Abbreviations xvii

Keywords xviii

Acknowledgement for PNA Handbook xix

Chapter 1 Introducing PNA and PMA Developments 1
Emma Wadey and Clare Capito

Introduction 1

The Creation and Development of the Professional Midwifery Advocate Role 2

Training to Become a Professional Midwifery Advocate 3

Supporting Implementation of The PMA Role and Service 3

The Academic PMA 6

The Creation and Development of the Professional Nurse Advocate Role 9

Training to Become a Professional Nurse Advocate 10

Supporting Implementation of The PNA Role and Service 11

The PNA Role in Practice 13

Impact of PNA 14

Summary 17

References 18

Chapter 2 Nurse Identity, Global Belonging and the Professional Nurse Advocate Role 20
Analisa Smythe

Concepts of Global Nurse Identity 21

A Sense of Belonging in Nursing 22

The Global Workforce 23

Internationally Educated Nurses 24

The Nursing Workforce in the United Kingdom 25

Strategies to Support Nurse Identity and Belonging 26

Support for Internationally Educated Nurses 27

Newly Qualified Nurses 28

The Professional Nurse Advocate Role 29

Professional Identity and Empowerment 30

Nurse Well- being 30

Impact on PNA Supervisor 30

Implications for Health and Policy 30

Conclusion 31

References 31

Chapter 3 Leadership Models and the PNA Role 39
Jill Barr

Historical Context 39

Nursing, Management and Leadership Theories 40

Trait Theory and PNA Role 41

Bureaucracy, Management and Leadership Theories 44

Contingency Theories 47

Leadership Styles 47

Transactional and Transformational Leadership Styles 48

Adair ‘Action – Centred’ Leadership 50

Human Relations Management 51

Leadership Theories to Form Organisational Culture 53

New Leadership 53

Authentic, Ethical and Value- Based Leadership 55

Systems and Global Leadership 57

Conclusion 58

Tips for PNA Practice 58

Acknowledgement 60

References 60

Chapter 4 A- EQUIP – Exploring the Normative Aspects of the Model (Education and Development) 64
Clare Capito

A- EQUIP Model Education and Development 64

The Normative Function of the A-EQUIP Model: Monitoring, Evaluation and Quality Improvement 68

The Formative Function of the A- EQUIP Model: Educational and Development 69

The Restorative Function of the A- EQUIP Model: Restorative Clinical Supervision 69

Personal Action for Quality Improvement Function of the A- EQUIP Model 75

The Qualities Required by a PNA to Deploy the A- EQUIP Model 79

References 87

Chapter 5 Developing Restorative Supervision in the PNA Role 89
Adele Parsons

Introduction 89

How to Use this Chapter 89

Background and Context 90

Brief History of Clinical Supervision in Nursing 91

Move to a Restorative Model of Supervision 92

Role of Professional Nurse Advocates 93

Understanding Emotions 94

Brain Structures and Emotional Response 95

Emotional Labour in Nursing 97

The Supervisor in Restorative Clinical Supervision 98

Emotional Intelligence 100

Leadership 101

Active Listening 102

The Supervisee in Restorative Clinical Supervision 103

What to Expect from RCS 103

Structuring RCS 105

Group Supervision 106

1:1 Supervision 110

Asynchronous and Synchronous Supervision 111

RCS Structure 112

Types of RCS Conversations 114

Building Your Network and Support 129

References 131

Chapter 6 A Reflective Journey Through Quality Improvement for PNAs 137
Martin Hogan

Introduction: Quality Improvement for Professional

Nurse Advocates 137

Learning the Language 138

The Purists and the Pirate 139

Stakeholders 139

The PDSA Cycle 140

The Drivers and the Hinders 146

Tips for Supporting Others to Run a QI Project 149

Personal Reflection 150

Conclusion 150

Glossary of Terms 151

References 151

Chapter 7 Communities of Practice to Support Well- being 153
Laura Wilde and Bethany Hall

Introduction 153

What is a Community of Practice (CoP)? 154

Examples of Communities of Practice 154

Benefits of Communities of Practice in Health Care 156

Setting Up and Sustaining Communities of Practice 158

Starting a CoP in Nursing or Midwifery 158

Virtual and In- Person CoPs 159

Time and Resource Constraints 159

Navigating Hierarchies and Power Dynamics 160

Global CoPs 162

Conclusion 162

References 163

Chapter 8 Cultivating Compassion Within Professional Nursing and Midwifery Advocacy 165
Bethany Hall and Laura Wilde

Introduction 165

Compassionate Cultures 166

Autonomy 167

Authority, Empowerment and Influence 167

Justice and Fairness 167

Work Conditions and Working Schedules 168

Belonging 169

Teamworking 169

Culture and Leadership 169

Contribution 170

Workload 170

Management and Supervision 171

Education, Learning and Development 171

Changing Culture 172

Laschinger’s Empowerment Theory 172

Compassionate Leadership 174

Attending – Actively Listen and Highlight Key Challenges 174

Empathising – Framing ‘Failures’ or Challenges as an Opportunity for Learning and Growth 175

Understanding – Engaged and Supportive Rather Than Directive 175

Helping – Reframing, Highlighting Resources, Removing Obstacles or Empowering Nurses and Midwives to Do So 176

Anti- Racism Practice 177

Well- Being and Self- Compassion 177

Introduction to Well- being and

Self- Compassion 177

Why Well- being Matters 178

Challenges to Well- being in Nursing and Midwifery 178

Common Stressors and Burnout Triggers 178

Impact on Mental and Physical Health 179

Finding a Balance When Returning to Study 179

Self- Compassion as a Professional Skill 179

What Self- Compassion Looks Like in Practice 180

Small Acts That Support Well- Being 182

Physical Health 182

Emotional and Mental Health 182

Social Health 185

Spiritual Well- Being 185

A Note on Systemic Support 186

Summary 186

References 187

Index 191

Subject Areas: Nursing & ancillary services [MQ]

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