Publications by authors named "Chantal Grandjean"

Article Synopsis
  • * A multicentered descriptive study using a Delphi e-survey identified 23 key competencies needed for nurses to effectively care for children and their families, involving input from experts in pediatric nursing.
  • * The findings emphasize seven critical competency domains, including Advocacy, Collaboration, and Clinical Judgment, creating a comprehensive framework to improve nursing education in pediatric care.
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Objective: The objective of this mixed methods review was to examine the effectiveness and family experiences of interventions promoting partnerships between families and the multidisciplinary health care team in pediatric and neonatal intensive care units.

Introduction: Hospitalization of infants and children in neonatal intensive care units and pediatric intensive care units has a significant effect on their families, including increased stress, anxiety, and depression. Available evidence syntheses focused on specific family-centered care, but not on partnership, which is another aspect that may improve families' outcomes and experiences.

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The Nurse consultation (CI) was implemented in 2013 at the emergency department of the Lausanne Children's Hospital. It offers medical delegated care for children aged three to 18. Ten years after its implementation, this article takes stock of its progress.

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Article Synopsis
  • The study investigates chronic critically ill (CCI) children in pediatric intensive care units (PICUs) in Switzerland, focusing on their prevalence, clinical characteristics, and ICU resource usage compared to non-CCI children.
  • Out of 12,375 PICU admissions, 982 were identified as CCI, showing they were younger, had more cardiac issues, and a higher mortality rate, as well as requiring greater nursing resources.
  • Key risk factors for CCI included cardiac and neurological conditions, surgical interventions, need for ventilation support, high mortality risk, and increased agitation, highlighting the need for early identification and enhanced staffing for adequate care.
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PICU hospitalization is particularly stressful for families. When it is prolonged and the prognostic is uncertain, it can significantly and negatively affect the whole family. To date, little is known on how families with a chronic critically ill (CCI) child are affected.

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Objective: This mixed methods systematic review examines the effectiveness and family experiences of interventions that promote partnerships between parents and the multidisciplinary health care team in pediatric and neonatal intensive care units.

Introduction: The hospitalization of a child or infant in an intensive care unit can have considerable negative effects on them and their family. Family members can experience increased stress, anxiety or depression and detrimental impacts on quality of life and family functioning.

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Objectives: To describe and compare characteristics of care provided at the end of life for children with chronic complex conditions and neonates who died in an ICU with those who died outside an ICU.

Design: Substudy of a nation-wide retrospective chart review.

Setting: Thirteen hospitals, including 14 pediatric and neonatal ICUs, two long-term institutions, and 10 community-based organizations in the three language regions of Switzerland.

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Purpose: To (1) quantify the three-dimensional treatment effect of a Mesialslider appliance using superimposed digital models, (2) to evaluate anchorage loss (measured by incisor displacement), and (3) to assess agreement between two different matching approaches, i.e., control point (CP)-based and iterative closest point (ICP) matching.

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Objectives: Treatment outcomes are frequently evaluated based on the superimposition of digital dental models. However, errors from surface matching may distort these findings. The aims of this study were (i) to develop a simulation unit to mimic point set registrations and (ii) to evaluate the impact and clinical relevance of manual landmark selection errors on registration accuracy.

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Introduction: Within paediatric intensive care units (PICUs), only a few parent satisfaction instruments are validated and none are available for French-speaking parents. The aims of the study were to translate and culturally adapt the Dutch EMPATHIC-65 questionnaire into a French version and to test its psychometric equivalence.

Methods: Two French-speaking PICUs in Switzerland and France participated.

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Background: Parents facing the death of their child have a strong need for compassionate professional support. Care services should be based on empirical evidence, be sensitive to the needs of the families concerned, take into account the heterogeneity within the medical field of paediatrics, and fit into the local health care system. We need to better understand the perspectives of parents facing the death of their child in order to guide further development and evaluation of specialised paediatric palliative and end-of-life (EOL) care services.

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