Psychological support in end-of-life decision-making in neonatal intensive care units: Full population survey among neonatologists and neonatal nurses.
Identifieur interne : 000124 ( Main/Exploration ); précédent : 000123; suivant : 000125Psychological support in end-of-life decision-making in neonatal intensive care units: Full population survey among neonatologists and neonatal nurses.
Auteurs : Laure Dombrecht [Belgique] ; Joachim Cohen [Belgique] ; Filip Cools [Belgique] ; Luc Deliens [Belgique] ; Linde Goossens [Belgique] ; Gunnar Naulaers [Belgique] ; Kim Beernaert [Belgique] ; Kenneth Chambaere [Belgique]Source :
- Palliative medicine [ 1477-030X ] ; 2020.
Descripteurs français
- KwdFr :
- Belgique (MeSH), Enquêtes et questionnaires (MeSH), Humains (MeSH), Infirmiers néonatals (psychologie), Nouveau-né (MeSH), Néonatologistes (psychologie), Prise de décision (MeSH), Soins terminaux (MeSH), Stress psychologique (MeSH), Unités de soins intensifs néonatals (MeSH), Épuisement professionnel (MeSH).
- MESH :
- Wicri :
- geographic : Belgique.
English descriptors
- KwdEn :
- MESH :
- geographic : Belgium.
- psychology : Neonatologists, Nurses, Neonatal.
- Burnout, Professional, Decision Making, Humans, Infant, Newborn, Intensive Care Units, Neonatal, Stress, Psychological, Surveys and Questionnaires, Terminal Care.
Abstract
BACKGROUND
Moral distress and burnout related to end-of-life decisions in neonates is common in neonatologists and nurses working in neonatal intensive care units. Attention to their emotional burden and psychological support in research is lacking.
AIM
To evaluate perceived psychological support in relation to end-of-life decisions of neonatologists and nurses working in Flemish neonatal intensive care units and to analyse whether or not this support is sufficient.
DESIGN/PARTICIPANTS
A self-administered questionnaire was sent to all neonatologists and neonatal nurses of all eight Flemish neonatal intensive care units (Belgium) in May 2017. The response rate was 63% (52/83) for neonatologists and 46% (250/527) for nurses. Respondents indicated their level of agreement (5-point Likert-type scale) with seven statements regarding psychological support.
RESULTS
About 70% of neonatologists and nurses reported experiencing more stress than normal when confronted with an end-of-life decision; 86% of neonatologists feel supported by their colleagues when they make end-of-life decisions, 45% of nurses feel that the treating physician listens to their opinion when end-of-life decisions are made. About 60% of both neonatologists and nurses would like more psychological support offered by their department when confronted with end-of-life decisions, and 41% of neonatologists and 50% of nurses stated they did not have enough psychological support from their department when a patient died. Demographic groups did not differ in terms of perceived lack of sufficient support.
CONCLUSION
Even though neonatal intensive care unit colleagues generally support each other in difficult end-of-life decisions, the psychological support provided by their department is currently not sufficient. Professional ad hoc counselling or standard debriefings could substantially improve this perceived lack of support.
DOI: 10.1177/0269216319888986
PubMed: 31739740
Affiliations:
- Belgique
- Province de Flandre-Orientale, Région de Bruxelles-Capitale, Région flamande
- Bruxelles, Gand
- Université de Gand
Links toward previous steps (curation, corpus...)
Le document en format XML
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Universiteit Brussel (VUB), Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Public Health and Primary Care, Ghent University, Ghent</wicri:regionArea><orgName type="university">Université de Gand</orgName><placeName><settlement type="city">Gand</settlement><region>Région flamande</region><region type="district" nuts="2">Province de Flandre-Orientale</region></placeName></affiliation></author><author><name sortKey="Cohen, Joachim" sort="Cohen, Joachim" uniqKey="Cohen J" first="Joachim" last="Cohen">Joachim Cohen</name><affiliation wicri:level="1"><nlm:affiliation>End-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel (VUB), Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>End-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel (VUB), Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Cools, Filip" sort="Cools, Filip" uniqKey="Cools F" first="Filip" last="Cools">Filip Cools</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neonatology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Neonatology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Deliens, Luc" sort="Deliens, Luc" uniqKey="Deliens L" first="Luc" last="Deliens">Luc Deliens</name><affiliation wicri:level="1"><nlm:affiliation>End-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel (VUB), Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>End-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel (VUB), Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Public Health and Primary Care, Ghent University, Ghent</wicri:regionArea><orgName type="university">Université de Gand</orgName><placeName><settlement type="city">Gand</settlement><region>Région flamande</region><region type="district" nuts="2">Province de Flandre-Orientale</region></placeName></affiliation></author><author><name sortKey="Goossens, Linde" sort="Goossens, Linde" uniqKey="Goossens L" first="Linde" last="Goossens">Linde Goossens</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neonatology, Ghent University Hospital, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Neonatology, Ghent University Hospital, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Naulaers, Gunnar" sort="Naulaers, Gunnar" uniqKey="Naulaers G" first="Gunnar" last="Naulaers">Gunnar Naulaers</name><affiliation wicri:level="1"><nlm:affiliation>Department of Development and Regeneration, KU Leuven, Leuven, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Development and Regeneration, KU Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Beernaert, Kim" sort="Beernaert, Kim" uniqKey="Beernaert K" first="Kim" last="Beernaert">Kim Beernaert</name><affiliation wicri:level="1"><nlm:affiliation>End-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel (VUB), Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>End-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel (VUB), Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Public Health and Primary Care, Ghent University, Ghent</wicri:regionArea><orgName type="university">Université de Gand</orgName><placeName><settlement type="city">Gand</settlement><region>Région flamande</region><region type="district" nuts="2">Province de Flandre-Orientale</region></placeName></affiliation></author><author><name sortKey="Chambaere, Kenneth" sort="Chambaere, Kenneth" uniqKey="Chambaere K" first="Kenneth" last="Chambaere">Kenneth Chambaere</name><affiliation wicri:level="1"><nlm:affiliation>End-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel (VUB), Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>End-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel (VUB), Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Public Health and Primary Care, Ghent University, Ghent</wicri:regionArea><orgName type="university">Université de Gand</orgName><placeName><settlement type="city">Gand</settlement><region>Région flamande</region><region type="district" nuts="2">Province de Flandre-Orientale</region></placeName></affiliation></author></analytic><series><title level="j">Palliative medicine</title><idno type="eISSN">1477-030X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Belgium (MeSH)</term><term>Burnout, Professional (MeSH)</term><term>Decision Making (MeSH)</term><term>Humans (MeSH)</term><term>Infant, Newborn (MeSH)</term><term>Intensive Care Units, Neonatal (MeSH)</term><term>Neonatologists (psychology)</term><term>Nurses, Neonatal (psychology)</term><term>Stress, Psychological (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Terminal Care (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Belgique (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Humains (MeSH)</term><term>Infirmiers néonatals (psychologie)</term><term>Nouveau-né (MeSH)</term><term>Néonatologistes (psychologie)</term><term>Prise de décision (MeSH)</term><term>Soins terminaux (MeSH)</term><term>Stress psychologique (MeSH)</term><term>Unités de soins intensifs néonatals (MeSH)</term><term>Épuisement professionnel (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Belgium</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Infirmiers néonatals</term><term>Néonatologistes</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Neonatologists</term><term>Nurses, Neonatal</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Burnout, Professional</term><term>Decision Making</term><term>Humans</term><term>Infant, Newborn</term><term>Intensive Care Units, Neonatal</term><term>Stress, Psychological</term><term>Surveys and Questionnaires</term><term>Terminal Care</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Belgique</term><term>Enquêtes et questionnaires</term><term>Humains</term><term>Nouveau-né</term><term>Prise de décision</term><term>Soins terminaux</term><term>Stress psychologique</term><term>Unités de soins intensifs néonatals</term><term>Épuisement professionnel</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Belgique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Moral distress and burnout related to end-of-life decisions in neonates is common in neonatologists and nurses working in neonatal intensive care units. Attention to their emotional burden and psychological support in research is lacking.</p></div><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>To evaluate perceived psychological support in relation to end-of-life decisions of neonatologists and nurses working in Flemish neonatal intensive care units and to analyse whether or not this support is sufficient.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN/PARTICIPANTS</b></p><p>A self-administered questionnaire was sent to all neonatologists and neonatal nurses of all eight Flemish neonatal intensive care units (Belgium) in May 2017. The response rate was 63% (52/83) for neonatologists and 46% (250/527) for nurses. Respondents indicated their level of agreement (5-point Likert-type scale) with seven statements regarding psychological support.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>About 70% of neonatologists and nurses reported experiencing more stress than normal when confronted with an end-of-life decision; 86% of neonatologists feel supported by their colleagues when they make end-of-life decisions, 45% of nurses feel that the treating physician listens to their opinion when end-of-life decisions are made. About 60% of both neonatologists and nurses would like more psychological support offered by their department when confronted with end-of-life decisions, and 41% of neonatologists and 50% of nurses stated they did not have enough psychological support from their department when a patient died. Demographic groups did not differ in terms of perceived lack of sufficient support.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Even though neonatal intensive care unit colleagues generally support each other in difficult end-of-life decisions, the psychological support provided by their department is currently not sufficient. Professional ad hoc counselling or standard debriefings could substantially improve this perceived lack of support.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31739740</PMID><DateCompleted><Year>2021</Year><Month>03</Month><Day>01</Day></DateCompleted><DateRevised><Year>2021</Year><Month>03</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1477-030X</ISSN><JournalIssue CitedMedium="Internet"><Volume>34</Volume><Issue>3</Issue><PubDate><Year>2020</Year><Month>03</Month></PubDate></JournalIssue><Title>Palliative medicine</Title><ISOAbbreviation>Palliat Med</ISOAbbreviation></Journal><ArticleTitle>Psychological support in end-of-life decision-making in neonatal intensive care units: Full population survey among neonatologists and neonatal nurses.</ArticleTitle><Pagination><MedlinePgn>430-434</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/0269216319888986</ELocationID><Abstract><AbstractText Label="BACKGROUND">Moral distress and burnout related to end-of-life decisions in neonates is common in neonatologists and nurses working in neonatal intensive care units. Attention to their emotional burden and psychological support in research is lacking.</AbstractText><AbstractText Label="AIM">To evaluate perceived psychological support in relation to end-of-life decisions of neonatologists and nurses working in Flemish neonatal intensive care units and to analyse whether or not this support is sufficient.</AbstractText><AbstractText Label="DESIGN/PARTICIPANTS">A self-administered questionnaire was sent to all neonatologists and neonatal nurses of all eight Flemish neonatal intensive care units (Belgium) in May 2017. The response rate was 63% (52/83) for neonatologists and 46% (250/527) for nurses. Respondents indicated their level of agreement (5-point Likert-type scale) with seven statements regarding psychological support.</AbstractText><AbstractText Label="RESULTS">About 70% of neonatologists and nurses reported experiencing more stress than normal when confronted with an end-of-life decision; 86% of neonatologists feel supported by their colleagues when they make end-of-life decisions, 45% of nurses feel that the treating physician listens to their opinion when end-of-life decisions are made. About 60% of both neonatologists and nurses would like more psychological support offered by their department when confronted with end-of-life decisions, and 41% of neonatologists and 50% of nurses stated they did not have enough psychological support from their department when a patient died. Demographic groups did not differ in terms of perceived lack of sufficient support.</AbstractText><AbstractText Label="CONCLUSION">Even though neonatal intensive care unit colleagues generally support each other in difficult end-of-life decisions, the psychological support provided by their department is currently not sufficient. Professional ad hoc counselling or standard debriefings could substantially improve this perceived lack of support.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dombrecht</LastName><ForeName>Laure</ForeName><Initials>L</Initials><Identifier Source="ORCID">0000-0002-7174-4678</Identifier><AffiliationInfo><Affiliation>End-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel (VUB), Ghent, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cohen</LastName><ForeName>Joachim</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>End-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel (VUB), Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cools</LastName><ForeName>Filip</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Neonatology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Deliens</LastName><ForeName>Luc</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>End-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel (VUB), Ghent, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goossens</LastName><ForeName>Linde</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Neonatology, Ghent University Hospital, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Naulaers</LastName><ForeName>Gunnar</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Development and Regeneration, KU Leuven, Leuven, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beernaert</LastName><ForeName>Kim</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>End-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel (VUB), Ghent, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chambaere</LastName><ForeName>Kenneth</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>End-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel (VUB), Ghent, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>NICU consortium</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>11</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Palliat Med</MedlineTA><NlmUniqueID>8704926</NlmUniqueID><ISSNLinking>0269-2163</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001530" MajorTopicYN="N" Type="Geographic">Belgium</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002055" MajorTopicYN="N">Burnout, Professional</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003657" MajorTopicYN="Y">Decision Making</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007363" MajorTopicYN="Y">Intensive Care Units, Neonatal</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000072156" MajorTopicYN="N">Neonatologists</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000072221" MajorTopicYN="N">Nurses, Neonatal</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013727" MajorTopicYN="Y">Terminal Care</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Perinatal death</Keyword><Keyword MajorTopicYN="Y">decision-making</Keyword><Keyword MajorTopicYN="Y">end-of-life care</Keyword><Keyword MajorTopicYN="Y">intensive care units</Keyword><Keyword MajorTopicYN="Y">neonatal</Keyword><Keyword MajorTopicYN="Y">psychological support system</Keyword><Keyword MajorTopicYN="Y">questionnaire design</Keyword></KeywordList><InvestigatorList><Investigator ValidYN="Y"><LastName>Laroche</LastName><ForeName>Sabrina</ForeName><Initials>S</Initials></Investigator><Investigator ValidYN="Y"><LastName>Theyskens</LastName><ForeName>Claire</ForeName><Initials>C</Initials></Investigator><Investigator ValidYN="Y"><LastName>Vandeputte</LastName><ForeName>Christine</ForeName><Initials>C</Initials></Investigator><Investigator ValidYN="Y"><LastName>Cornette</LastName><ForeName>Luc</ForeName><Initials>L</Initials></Investigator><Investigator ValidYN="Y"><LastName>Van de Broek</LastName><ForeName>Hilde</ForeName><Initials>H</Initials></Investigator></InvestigatorList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>11</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>3</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>11</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31739740</ArticleId><ArticleId IdType="doi">10.1177/0269216319888986</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Belgique</li></country><region><li>Province de Flandre-Orientale</li><li>Région de Bruxelles-Capitale</li><li>Région flamande</li></region><settlement><li>Bruxelles</li><li>Gand</li></settlement><orgName><li>Université de Gand</li></orgName></list><tree><country name="Belgique"><noRegion><name sortKey="Dombrecht, Laure" sort="Dombrecht, Laure" uniqKey="Dombrecht L" first="Laure" last="Dombrecht">Laure Dombrecht</name></noRegion><name sortKey="Beernaert, Kim" sort="Beernaert, Kim" uniqKey="Beernaert K" first="Kim" last="Beernaert">Kim Beernaert</name><name sortKey="Beernaert, Kim" sort="Beernaert, Kim" uniqKey="Beernaert K" first="Kim" last="Beernaert">Kim Beernaert</name><name sortKey="Chambaere, Kenneth" sort="Chambaere, Kenneth" uniqKey="Chambaere K" first="Kenneth" last="Chambaere">Kenneth Chambaere</name><name sortKey="Chambaere, Kenneth" sort="Chambaere, Kenneth" uniqKey="Chambaere K" first="Kenneth" last="Chambaere">Kenneth Chambaere</name><name sortKey="Cohen, Joachim" sort="Cohen, Joachim" uniqKey="Cohen J" first="Joachim" last="Cohen">Joachim Cohen</name><name sortKey="Cools, Filip" sort="Cools, Filip" uniqKey="Cools F" first="Filip" last="Cools">Filip Cools</name><name sortKey="Deliens, Luc" sort="Deliens, Luc" uniqKey="Deliens L" first="Luc" last="Deliens">Luc Deliens</name><name sortKey="Deliens, Luc" sort="Deliens, Luc" uniqKey="Deliens L" first="Luc" last="Deliens">Luc Deliens</name><name sortKey="Dombrecht, Laure" sort="Dombrecht, Laure" uniqKey="Dombrecht L" first="Laure" last="Dombrecht">Laure Dombrecht</name><name sortKey="Goossens, Linde" sort="Goossens, Linde" uniqKey="Goossens L" first="Linde" last="Goossens">Linde Goossens</name><name sortKey="Naulaers, Gunnar" sort="Naulaers, Gunnar" uniqKey="Naulaers G" first="Gunnar" last="Naulaers">Gunnar Naulaers</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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