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Analysis of institutional authors

Fabrellas NCorresponding AuthorCarol MAuthor

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August 1, 2025
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Review

Nursing care for patients with cirrhosis

Publicated to:Journal Of Hepatology. 79 (1): 218-225 - 2023-07-01 79(1), DOI: 10.1016/j.jhep.2023.01.029

Authors: Fabrellas, N; Künzler-Heule, P; Olofson, A; Jack, K; Carol, M

Affiliations

- Author
Cantonal Hosp St Gallen, Dept Nursing - Author
Inst Invest Biomed AugustPi Sunyer IDIBAPS, Barcelona - Author
Nottingham Univ Hosp NHS Trust - Author

Abstract

Cirrhosis represents a major cause of morbidity and mortality, leading to a marked impairment in the quality of life of patients and their caregivers, and resulting in a major burden on healthcare systems. Currently, in most countries, nurses still play a limited role in the care of patients with cirrhosis, which is mainly restricted to the care of patients hospitalised for acute complications of the disease. The current manuscript reviews the established and potential new and innovative roles that nurses can play in the care of patients with cirrhosis. In the hospital setting, specialised nurses should become an integral part of interprofessional teams, helping to improve the quality of care and outcomes of patients with cirrhosis. In the primary care setting, nurses should play an important role in the care of patients with compensated cirrhosis and also facilitate early diagnosis of cirrhosis in those at risk of liver diseases. This review calls for an improved global liver disease education programme for nurses and increased awareness among all healthcare providers and policymakers of the positive impacts of advanced or specialist nursing practice in this domain.& COPY; 2023 The Authors. Published by Elsevier B.V. on behalf of European Association for the Study of the Liver. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Keywords

Advanced care practitionerAlcohol consumptionAscitesAspartate aminotransferase to platelet ratio indexCancer screeningCaregiverChronic liver-diseasesClinical nurse specialistClinical protocolCommunity careComorbidityCompensated liver cirrhosisCoordinationCounselingDecompensated liver cirrhosisDelivery of health careDisease stigmatizationEducation programEsophagus varicesEuropeanFallingFibrosis-4 indexFrailtyHealth care deliveryHealth care personnelHealth personnelHealthy dietHealthy lifestyleHepatic diseasesHigh risk patientHolistic careHospitalHospital patientHospitalsHumanHumansImmunizationLifeLiver cell carcinomaLiver cirrhosisLiver diseaseLiver diseasesLiver fibrosisManagementMedical assessmentMedical specialistModelNon insulin dependent diabetes mellitusNurseNurse practitionerNursing careNursing practiceNursing roleObesityOutpatientPatient counselingPatient educationPhysicianQuality of lifeReviewRisk factorScreeningSelf careStomach varices

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal Of Hepatology due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2023, it was in position 3/143, thus managing to position itself as a Q1 (Primer Cuartil), in the category Gastroenterology & Hepatology. Notably, the journal is positioned above the 90th percentile.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 1.65. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Field Citation Ratio (FCR) from Dimensions: 9.68 (source consulted: Dimensions Aug 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-08-23, the following number of citations:

  • WoS: 9
  • Scopus: 6
  • Europe PMC: 1

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-23:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 70.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 71 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 25.15.
  • The number of mentions on the social network X (formerly Twitter): 41 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Switzerland; United Kingdom.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Fabrellas, Nuria) and Last Author (Carol, Marta).

the authors responsible for correspondence tasks have been Fabrellas Padrés, Núria and Fabrellas, N.