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dc.contributor.authorMatthews, Karenen_US
dc.contributor.authorMacGilchrist, Alastairen_US
dc.contributor.authorSmith, Margaret Coulteren_US
dc.contributor.authorJones, Jacklynen_US
dc.contributor.authorCetnarskyj, Roseanneen_US
dc.date.accessioned2018-09-24T12:10:58Z
dc.date.available2018-09-24T12:10:58Z
dc.date.issued2018-09-05
dc.identifierhttps://eresearch.qmu.ac.uk/bitstream/handle/20.500.12289/8908/8908aam.pdf
dc.identifier.citationMatthews, K., MacGilchrist, A., Coulter-Smith, M., Jones, J. & Cetnarskyj, R. (2018) A nurse-led FibroScan® outreach clinic encourages socially deprived heavy drinkers to engage with liver services. Journal of Clinical Nursing, 28 (3-4), pp. 650-662.en_US
dc.identifier.issn1365-2702en_US
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/8908
dc.identifier.urihttps://doi.org/10.1111/jocn.14660
dc.descriptionKaren Matthews - ORCID: 0000-0002-7272-0520 https://orcid.org/0000-0002-7272-0520
dc.description.abstractAims and objectives To determine whether a portable FibroScan® device can be an acceptable screening tool for chronic liver disease in a community alcohol support service, through recording uptake, determining apparent prevalence of undiagnosed fibrosis/cirrhosis in participants and report engagement following referral to specialist liver services of those individuals referred because of a FibroScan® reading ≥ 7.1 kilopascals (kPa). Background Alcohol‐related liver disease, including cirrhosis, is a major cause of death in the UK. Liver disease is silent and usually presents late. Socially deprived patients with alcohol‐related liver disease are a “hard to engage” population and at higher risk of death than less deprived. A FibroScan® device is a non‐invasive tool for measuring liver stiffness. A result of ≥7.1 kPa can indicate possible chronic liver disease. Design Prospective observational study. Method Individuals who self‐identified as harmful drinkers were recruited. Consented individuals attended for a liver FibroScan®. Those with a reading ≥7.1 kPa were referred to a nurse‐led liver clinic for further investigations, results of which determined referral to a liver specialist in secondary care. Participants referred were monitored for compliance over a 6‐month period. Results Seventy‐nine consented individuals participated, an uptake of 67% of those informed of the study. Of the 79 scans performed, three were unreliable leaving 76 participants. After scanning, 20/76 (26%) had a FibroScan® ≥7.1 kPa requiring referral on to the nurse‐led clinic. All 20 (100%) engaged in further assessment. Of those, 12 required onward referral to specialist services. Subsequent compliance with specialist services in this sample (n = 12) was ≥90%. Conclusion A nurse‐led FibroScan® outreach clinic encourages socially deprived drinkers to engage with liver services. Relevance to clinical practice A 67% uptake suggests a nurse‐led FibroScan® service in a community alcohol service is acceptable. High engagement gives potential for early intervention and improved health outcomes. What does this paper contribute to the wider global clinical community? Findings from this study should instil confidence in centres planning to deliver early intervention through nurse‐led screening for chronic liver disease with a portable FibroScan® device in community settings. These findings should inform future research in this area.en_US
dc.description.sponsorshipFunding information: NHS Lothian Innovation Board provided £6200 funding for rental of the FibroScan® device for the six‐month duration of data collection from November 2014 to April 2015. NHS Lothian Research Futures for providing funding to cover fees for doctoral level study and educational needs pertinent to developing the study for dissemination.en_US
dc.format.extent650-662
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal of Clinical Nursingen_US
dc.subjectAlcoholicen_US
dc.subjectFibroScan®en_US
dc.subjectLiver Cirrhosisen_US
dc.subjectNursing Assessmenten_US
dc.subjectScreeningen_US
dc.subjectTransient Elastographyen_US
dc.titleA nurse‐led FibroScan® outreach clinic encourages socially deprived heavy drinkers to engage with liver servicesen_US
dc.typeArticleen_US
dcterms.accessRightspublic
dcterms.dateAccepted2018-08-29
dc.date.updated2019-01-28
dc.description.volume28
dc.description.ispublishedpub
rioxxterms.typeJournal Article/Reviewen_US
rioxxterms.publicationdate2018-09-05
refterms.dateEmbargoEnd2019-09-05
refterms.dateFCA2018-09-05
refterms.dateFCD2018-09-24
refterms.depositExceptionNAen_US
refterms.accessExceptionNAen_US
refterms.technicalExceptionNAen_US
refterms.panelUnspecifieden_US
qmu.authorMatthews, Karen
qmu.authorSmith, Margaret Coulter
qmu.authorJones, Jacklyn
qmu.centreCentre for Applied Social Sciencesen_US
qmu.centreCentre for Person-centred Practise Research
dc.description.statuspub
dc.description.number3-4
refterms.versionAMen_US
refterms.dateDeposit2018-09-24


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