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Professional Nurse Advocate A-EQUIP model: a model of clinical supervision for nurses. Version 2, September 2023




Professional nursing leadership and clinical supervision are essential in enabling nurses to continuously improve the care they provide to patients and their families, as well as to protect their own and their colleagues’ health and wellbeing.

This document describes the A-EQUIP (Advocating and Educating for QUality ImProvement) model of professional nursing leadership and clinical supervision and provides guidance on the implementation of the professional nurse advocate (PNA) role, including key actions for each relevant group. It is of particular relevance to all nurses, student nurses, providers of nursing services and patients. From 1 April 2022, providers of nursing services will support the implementation of the A-EQUIP model and the PNA role.

The A-EQUIP model works for nurses in four ways:

advocating for the patient, the nurse and healthcare staff
providing clinical supervision using a restorative approach
enabling nurses to undertake personal action for quality improvement
promoting the education and development of nurses.
It supports a continuous improvement process that aims to build on the personal and professional clinical leadership of nurses, enhance the quality of care for patients, and support preparedness for appraisal and professional revalidation. The restorative function has been shown to have a positive impact on the physical and emotional wellbeing of staff as it reduces burnout, stress and absences, and improves job satisfaction and patient experience.

Nursing providers need to prepare for implementation of the PNA role and support the rollout of restorative clinical supervision.


(2023). Professional Nurse Advocate A-EQUIP model: a model of clinical supervision for nurses. Version 2, September 2023. NHS England

Report Type Policy Document
Publication Date 2023-09
Deposit Date Jun 23, 2024
Publicly Available Date Jun 25, 2024
Pages 8
Public URL
Publisher URL
Additional Information Developed by the Professional Nurse Advocate Taskforce and endorsed by the Royal College of Nursing.
Publication reference: PRN00698_i


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