Le débat entre le coeur et le devoir dans : La Princesse de Clèves

Ce mémoire traite du débat entre le coeur et le devoir et des différentes influences qui ont conduit à la fameuse question : Pourquoi la princesse n’épouse-t-elle pas le duc de Nemours alors que tous les obstacles sont levés ? À défaut de pouvoir répondre définitivement à cette énigme dont seule Madame de La Fayette possède la clé, nous nous sommes concentrée sur les influences qui auraient pu pousser la princesse à sacrifier son coeur pour son devoir. La méthode de recherche utilisée est l’approche de la biographie intellectuelle. Il est évident que le vécu de l'auteure a teinté le contenu de son oeuvre ainsi que l'âme de son héroïne. Nous nous sommes également inspirée de la méthode sociocritique quant aux influences et mouvements de l'époque. Dans le but de simplifier la collecte des sources et l’organisation de la recherche, nous avons regroupé les influences en trois grandes catégories : les influences personnelles, internes et externes. Cette étude a mis en évidence que les moeurs, dans La Princesse de Clèves, sont le miroir de la société du XVIIe siècle. Chaque influence présentée forme le dessin d’une princesse cachant en elle le secret de son renoncement à l'amour.

Process evaluation of a knowledge translation intervention using facilitation of local stakeholder groups to improve neonatal survival in the Quang Ninh province, Vietnam

BACKGROUND: Annually, 2.8 million neonatal deaths occur worldwide, despite the fact that three-quarters of them could be prevented if available evidence-based interventions were used. Facilitation of community groups has been recognized as a promising method to translate knowledge into practice. In northern Vietnam, the Neonatal Health - Knowledge Into Practice trial evaluated facilitation of community groups (2008-2011) and succeeded in reducing the neonatal mortality rate (adjusted odds ratio, 0.51; 95 % confidence interval 0.30-0.89). The aim of this paper is to report on the process (implementation and mechanism of impact) of this intervention. METHODS: Process data were excerpted from diary information from meetings with facilitators and intervention groups, and from supervisor records of monthly meetings with facilitators. Data were analyzed using descriptive statistics. An evaluation including attributes and skills of facilitators (e.g., group management, communication, and commitment) was performed at the end of the intervention using a six-item instrument. Odds ratios were analyzed, adjusted for cluster randomization using general linear mixed models. RESULTS: To ensure eight active facilitators over 3 years, 11 Women's Union representatives were recruited and trained. Of the 44 intervention groups, composed of health staff and commune stakeholders, 43 completed their activities until the end of the study. In total, 95 % (n = 1508) of the intended monthly meetings with an intervention group and a facilitator were conducted. The overall attendance of intervention group members was 86 %. The groups identified 32 unique problems and implemented 39 unique actions. The identified problems targeted health issues concerning both women and neonates. Actions implemented were mainly communication activities. Communes supported by a group with a facilitator who was rated high on attributes and skills (n = 27) had lower odds of neonatal mortality (odds ratio, 0.37; 95 % confidence interval, 0.19-0.73) than control communes (n = 46). CONCLUSIONS: This evaluation identified several factors that might have influenced the outcomes of the trial: continuity of intervention groups' work, adequate attributes and skills of facilitators, and targeting problems along a continuum of care. Such factors are important to consider in scaling-up efforts.