Effectiveness of the “Person First – Please” educational intervention for nurses in older people long-term care –protocol for a cluster RCT v1

Aim. To evaluate effectiveness of “Person First –Please” (PFP) intervention in supporting nurses’ collective competence in Person-centred Care (PCC) in Long-Term Care (LTC) of older people. Design. Cluster randomised controlled trial. Methods. Intervention group comprising nurses working on older people LTC will receive PFP Continuing Education (CE) intervention; control group will work as usual. The primary outcomes are nurses’ individual PCC competence and intervention’s effectiveness for collective competence. Secondary outcomes are PCC climate as perceived by nurses, residents and their families. Measurements are conducted three times (baseline, after PFP intervention and after 6-week follow-up) in both groups. Results. The study will provide evidence of PFP’s effectiveness and its influence on PCC climate of older people LTC. If effective, the educational intervention can be used to improve PCC and quality care for older people. Keywords Person-centred care, older people, long-term care, intervention, continuing education, collective competence

Collective Intelligence and Entrepreneurial Resilience in the Context of Covid-19

Research on the covid-19 pandemic, conducted to date, has clearly shown its negative impact on entrepreneurs. However, there are few relevant studies on the resilience of these entrepreneurs. Even economic stimulus packages developed by governments ignore collective intelligence, which is seen as an appropriate posture and path that can lead to the resilience of entrepreneurs in unpredictable situations. Thanks to the theoretical anchoring of collaborative management, we have developed and tested a conceptual model through the approach of deconstructing collective intelligence into (i) the sharing of capacities (ii) mutual aid (iii) collective competence and (iv) dynamic capacity. The data production was carried out through 15 semi-structured interviews and 282 surveys of Cameroonian and Chadian entrepreneurs. The results showed that mutual support (β = 0.32) and ability to share (β = 0.29) are indirectly the best predictors of economic and strategic entrepreneurial resilience. Because they participate effectively in building the collective competence of entrepreneurs in a context of crisis. This collective competence positively generates the level of variation in economic resilience (β = 0.38) and that of strategic resilience (β = 0.36). These results are the manifestation that covid-19 is boosting social dialogue between entrepreneurs. On the other hand, dynamic capacity appears less effective for the entrepreneurial economic resilience (β = 0.04) and strategic entrepreneurial resilience (β = 0.02) of the entrepreneurs studied due to the measures to combat covid-19. These findings contrast with previous research focused on entrepreneurial resilience through collective intelligence. They lead us to stress the importance of continuing research on the subject and to draw comparisons between entrepreneurs in crisis situations and those working in a stable ecosystem. The article is useful for researchers who find proven evidence that is more relevant. Then entrepreneurs will find new factors to make their entrepreneurial project viable. Finally, governments and their partners are urged to further promote entrepreneurship education based on dynamic capacity at the expense of confrontation and selfishness. Our article is part of the theory of collaborative management and organizational theory and reveals the existence of a relational contingency in the different stages of the entrepreneurial resilience process.

The surgical journey: exploring the OR-PACU handover

Patient safety in health care remains a serious concern in Canada. Adverse events can lead to physiological and psychological complications and pose a significant economic burden on the health care system. The purpose of this descriptive qualitative study was to explore the team processes, roles and factors that underpin effective communication between team members during an OR-PACU handover. Content analysis revealed four major categories: Ownership, Distractions and Interruptions, Transfer of Information and Workflow. The results of this study, informed by the Theory of Collective Competence enhance our understanding of the OR-PACU handover and support the need for the development of a structured OR-PACU team handover process.

The surgical journey: exploring the OR-PACU handover

Patient safety in health care remains a serious concern in Canada. Adverse events can lead to physiological and psychological complications and pose a significant economic burden on the health care system. The purpose of this descriptive qualitative study was to explore the team processes, roles and factors that underpin effective communication between team members during an OR-PACU handover. Content analysis revealed four major categories: Ownership, Distractions and Interruptions, Transfer of Information and Workflow. The results of this study, informed by the Theory of Collective Competence enhance our understanding of the OR-PACU handover and support the need for the development of a structured OR-PACU team handover process.

Disenfranchisement and the Capacity/Equality Puzzle: Why Disenfranchise Children but Not Adults Living with Cognitive Disabilities

In this paper, I offer a solution to the Capacity/Equality Puzzle. The puzzle holds that an account of the franchise may adequately capture at most two of the following: (1) a political equality-based account of the franchise, (2) a capacity-based account of disenfranchising children, and (3) universal adult enfranchisement. To resolve the puzzle, I provide a complex liberal egalitarian justification of a moral requirement to disenfranchise children. I show that disenfranchising children is permitted by both the proper political liberal and the proper political egalitarian understandings of the relationship between cognitive capacity and the franchise. Further, I argue, disenfranchising children is required by a minimalistic, procedural principle of collective competence in political decision-making. At the same time, I show that political equality requires the enfranchisement of all adults, regardless of cognitive capacities, and that the collective competence principle does not ground adult disenfranchisement. This justifies the progressive legal trend that holds the capacity-based disenfranchisement of adults to be incompatible with liberal democratic principles.