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Hamberg MLS, Dupont L, Jønsson MF, Bennick H, Teisner AS, Andersen ML, Konradsen H, Danielsen A. A Nurse-Led Outpatient Clinic for Patients With Decompensated Liver Cirrhosis: Staffing, Structure, and Patient Satisfaction. Gastroenterol Nurs 2023; 46:107-117. [PMID: 36882915 DOI: 10.1097/sga.0000000000000706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 08/29/2022] [Indexed: 03/09/2023] Open
Abstract
Patients with decompensated liver cirrhosis constitute a growing and vulnerable patient group with a particular need for easy outpatient access and close follow-up. By establishing a nurse-led clinic, we aimed to counter this need in a patient-centered manner within a multidisciplinary rehabilitating framework. This article presents the organization, staffing, and structure of this initiative as well as the patient population demographics and characteristics. Furthermore, patient satisfaction within the clinic was explored. Two complementary substudies are presented: a descriptive, registry-based journal audit, presenting data from the clinic's first years, 2017-2019, and a cross-sectional, descriptive survey, exploring patient satisfaction 2 years later. Different visit types with predefined content constitute an operable structure suitable for meeting patients' current needs. An increase in both the number of patients and visits from the first to second years indicates an existing need for nurse-led support. Data not only support the well-known characteristics of patients with cirrhosis but also add to a broader perspective with more nuances for this patient population. The survey shows an overall high score on satisfaction but also points out areas for improvement. The nurse-led clinic provides both structure and knowledge to facilitate patient-centered treatment and care for those suffering from liver cirrhosis.
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Affiliation(s)
- Marie Louise S Hamberg
- Marie Louise S. Hamberg, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Lene Dupont, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Marthe F. Jønsson, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Bennick, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Ane S. Teisner, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Mette L. Andersen, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Konradsen, PhD, is Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden
- Anne Danielsen, PhD, is Associate Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Lene Dupont
- Marie Louise S. Hamberg, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Lene Dupont, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Marthe F. Jønsson, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Bennick, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Ane S. Teisner, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Mette L. Andersen, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Konradsen, PhD, is Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden
- Anne Danielsen, PhD, is Associate Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Marthe F Jønsson
- Marie Louise S. Hamberg, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Lene Dupont, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Marthe F. Jønsson, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Bennick, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Ane S. Teisner, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Mette L. Andersen, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Konradsen, PhD, is Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden
- Anne Danielsen, PhD, is Associate Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Hanne Bennick
- Marie Louise S. Hamberg, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Lene Dupont, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Marthe F. Jønsson, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Bennick, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Ane S. Teisner, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Mette L. Andersen, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Konradsen, PhD, is Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden
- Anne Danielsen, PhD, is Associate Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Ane S Teisner
- Marie Louise S. Hamberg, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Lene Dupont, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Marthe F. Jønsson, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Bennick, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Ane S. Teisner, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Mette L. Andersen, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Konradsen, PhD, is Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden
- Anne Danielsen, PhD, is Associate Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Mette L Andersen
- Marie Louise S. Hamberg, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Lene Dupont, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Marthe F. Jønsson, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Bennick, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Ane S. Teisner, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Mette L. Andersen, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Konradsen, PhD, is Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden
- Anne Danielsen, PhD, is Associate Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Hanne Konradsen
- Marie Louise S. Hamberg, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Lene Dupont, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Marthe F. Jønsson, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Bennick, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Ane S. Teisner, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Mette L. Andersen, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Konradsen, PhD, is Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden
- Anne Danielsen, PhD, is Associate Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Anne Danielsen
- Marie Louise S. Hamberg, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Lene Dupont, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Marthe F. Jønsson, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Bennick, RN, is clinical nurse, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Ane S. Teisner, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Mette L. Andersen, MD, is physician, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Hanne Konradsen, PhD, is Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden
- Anne Danielsen, PhD, is Associate Professor, Department of Gastroenterology and Hepatology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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