Exploring the professional nurse advocate role in quality improvement: a qualitative study

Abstract

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.