31 research outputs found
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Efficacy of a Short Role-Play Training on Breaking Bad News in the Emergency Department
Introduction: Breaking bad news (BBN) in the emergency department (ED) represents a challenging and stressful situation for physicians. Many medical students and residents feel stressed and uncomfortable with such situations because of insufficient training. Our randomized controlled study aimed to assess the efficacy of a four-hour BBN simulation-based training on perceived self-efficacy, the BBN process, and communication skills.Methods: Medical students and residents were randomized into a 160-hour ED clinical rotation without a formal BBN curriculum (control group [CG], n = 31) or a 156-hour ED clinical rotation and a four-hour BBN simulation-based training (training group [TG], n = 37). Both groups were assessed twice: once at the beginning of the rotation (pre-test) and again four weeks later. Assessments included a BBN evaluation via a simulation with two actors playing family members and the completion of a questionnaire on self-efficacy. Two blinded raters assessed the BBN process with the SPIKES (a delivery protocol for delivering bad news) competence form and communication skills with the modified BBN Assessment Schedule.Results: Group-by-time effects adjusted by study year revealed a significant improvement in TG as compared with CG on self-efficacy (P < 0.001), the BBN process (P < 0.001), and communication skills (P < 0.001). TG showed a significant gain regarding the BBN process (+33.3%, P < 0.001). After the training, students with limited clinical experience prior to the rotation showed BBN performance skills equal to that of students in the CG who had greater clinical experience.Conclusion: A short BBN simulation-based training can be added to standard clinical rotations. It has the potential to significantly improve self-efficacy, the BBN process, and communication skills
La romance historique américaine dans les premières décennies du XIXe siècle : résoudre le paradoxe de l’appropriation d’un genre britannique au lendemain de l’Indépendance
International audienc
Reuben and Rachel de Susanna Rowson : une romance familiale transatlantique
International audienc
Standing on the Edge: Negotiating Legal Issues in Lydia Maria Child’s Frontier Romance, Hobomok (1824)
International audienc
Cavalier and Abolitionist : The Recovery of Walter Scott in the Context of Abolition
International audienc
Crossing Borders between History and Fiction: Romancing the Revolution in James Fenimore Cooper’s Lionel Lincoln (1825) and Catharine Maria Sedgwick’s The Linwoods (1835)
International audienc
“Knight Errantry Run Wild,” Or, Chivalry Revisited in Cooper’s and Irving’s Narratives
International audienc
“Wizards of the West”. Inheritance and Transformation of the Historical Romance from Sir Walter Scott to his American Contemporaries, 1814-1840s (James Fenimore Cooper, Washington Irving, and Catharine Maria Sedgwick)
Cette étude se place dans le champ des études transatlantiques afin d’analyser les modalités selon lesquelles les romances historiques ont constitué une réponse aux exigences lancinantes de doter les États-Unis d’une littérature nationale dans la première moitié du XIXe siècle. Créé en Grande-Bretagne par Walter Scott, ce genre est repris et adapté par ses contemporains américains, en particulier James Fenimore Cooper, Washington Irving et Catharine Maria Sedgwick. Dans un premier temps, nous avons étudié la réception de Walter Scott et de ses Waverley Novels et leur impact sur le marché du livre américain. Une analyse, notamment, des journaux qui fleurissent lors du regain de patriotisme de l’après-Guerre de 1812, a permis de montrer que se côtoient alors panégyriques de Walter Scott et appels récurrents à l’émergence d’un « Scott américain ». C’est ensuite la réponse des auteurs américains que nous avons étudiée. S’ils adoptent certains codes génériques scottiens afin de répondre à la volonté nationale de mettre en scène l’Histoire américaine, Cooper, Irving et Sedgwick font de leurs romances historiques le vecteur privilégié d’une mise en valeur de la matière américaine : une Histoire riche en événements, des ancêtres à célébrer, un territoire national aux propriétés spécifiques, qui la mettront sur un pied d’égalité avec les nations européennes. Alors que les romanciers utilisent leurs œuvres pour promouvoir une nation américaine culturellement distincte, s’opère une recomposition générique. La romance historique se fait alors le lieu d’une mythogenèse pour l’Amérique via l’écriture d’une épopée nationale, qui permet de remonter les âges vers une temporalité indéfinie afin de fonder la Jeune République en une nation organique, digne de soutenir la comparaison avec ses homologues outre-Atlantique.This work, belonging to the field of transatlantic studies, analyses to what extend historical romances formed a response to the ongoing wish to provide the United States with a national literature in the first half of the nineteenth century. The genre, fashioned in Great Britain by Walter Scott, was taken up and adapted by his American contemporaries, and in particular, James Fenimore Cooper, Washington Irving, and Catharine Maria Sedgwick. The first chapter tackles the reception of Walter Scott and of his Waverley Novels, and their impact on the American book market. Our analysis in particular of the newspapers and periodicals that flourished in the surge of patriotism following the War of 1812, has enabled us to show that the panegyrics for Walter Scott stood just alongside the recurrent calls in the same pages for the birth of an “American Scott.” The response given by the American authors forms the second part of our analysis. As they appropriate some of the generic traits of the Scottian historical romance in order to comply to the nation’s wish for a portrayal of American history, Cooper, Irving, and Sedgwick use the genre to showcase the American matter – a history full of events worth narrating, ancestors worth celebrating, and a national territory with its own features – that would bring the United States on a level with the European nations. As the writers thus promote a culturally distinct American nation, the genre gradually morphs into a form of national epic. Through this mythogenesis at work in the writings under study, the United States are given a timeline that dissolves into an indeterminate temporality, thereby shaping the Early Republic as an organic nation, fit for contention with its transatlantic counterparts
“This picturesque land of ours” : la mise en valeur du paysage national chez Scott et Cooper
International audienc
Porous Spheres in Times of War: The Fair Americans and the Questioning of Gender Roles within the Family
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