Social entrepreneurship and public health nursing knowledge: Opportunities for innovating nursing education in population health.

Public health nursing (PHN) competencies are fundamental for addressing population health inequities. Few pathways exist for employing these competencies in the United States (US). Social entrepreneurship in nursing education might provide opportunities for innovating engagement in population health. Partnerships between business and nursing schools have the potential to fulfill this opportunity. PURPOSE: Explore opportunities for re-invigorating public health nursing through social entrepreneurship education in nursing-business partnerships in U.S. universities. METHODS: Reviewed programs in nursing/business school partnerships from Carnegie-classified R1 Universities. Identified appropriate coursework. RESULTS: Of 96 identified nursing schools, eight had business school partnerships, providing 12 programs. Most programs (n = 11) targeted graduate students and addressed core competencies for entrepreneurship. Five business schools had entrepreneurship expertise. Five nursing schools had PHN expertise. Three programs included population health competencies. DISCUSSION: Despite missed opportunities for advancing social entrepreneurship education among undergraduate and graduate nursing students, existing curricular offerings in the partnerships provide promise. Business/nursing partnerships and PHN knowledge can stimulate the preparation and agency of nurses in addressing population health inequities.

[Development of innovations for neighborhood care-Contribution of social innovation laboratories]. / Innovationsentwicklung für die Pflege im Quartier ­ Beitrag von sozialen Innovationslaboren.

The article demonstrates the contributions of the innovation program "D-Care Lab Baden-Württemberg 2023" to the development of innovative solutions for neighborhood care. The effects of the program are reconstructed on the basis of initial research findings pertaining to the innovation program. A distinctive aspect of the laboratory is its cross-sectoral collaborative structure. The levels of impact can be defined as follows: the acquisition of skills by the participants, the connection between skills acquisition and learning arrangement, the changes observed as a result of participation and the innovative solutions developed for care in the neighborhood. The initial results are presented in accordance with the theoretical research design and research methods previously outlined. The results demonstrate alterations in the competence profiles of the participants and the impact of the cooperative laboratory setting on the development of solutions. Based on these findings, the function of innovation programs becomes evident, thereby highlighting the necessity for mid-term to long-term impact analysis.

Heartfelt ventures: The power of empathy in driving social entrepreneurial.

Although the notion of social entrepreneurship is not new to us today, it has not yet gained widespread acceptance and development in Vietnam. Although there are numerous study publications on the relationship between empathy and social entrepreneurial intentions, this problem has yet to be studied much in the context of Vietnam's, particularly among youth. The goal of this study is to see if young empathy is linked to their desire to start a social enterprise. Reliability analysis using PLS-SEM software and a binary regression model will be used to examine data obtained from 339 university students in Vietnam. According to the findings, as well as the theory of planned behavior and the theory of action phases, (1) empathy does not directly affect social business intention, but rather indirectly through two mechanisms, social worth and social entrepreneurial self-efficacy, and (2) individuals who are confident in their own abilities have more social entrepreneurship intentions. We provide recommendations based on these findings to inspire young people to pursue social entrepreneurship, contribute to the development of a sustainable economy, and contribute positive values to society.

A social enterprise model for TB detection and treatment through the private sector in Pakistan.

BACKGROUND: Existing models to increase TB case notifications from the private sector in Pakistan are financially unsustainable and have achieved modest success due to limited coverage. OBJECTIVE: To evaluate the impact of a social enterprise model (SEM) intervention on TB case detection in Karachi, Pakistan, and to assess its financial sustainability. METHODS: Purpose-built centres were established within the private sector that integrated TB screening, diagnostics and treatment and operated 12 hours per day with convenient locations to improve access. TB services were offered free of cost, and revenue generation took place through user fees from other diagnostics. Private providers with a focus on the informal sector were engaged through community workers to generate screening referrals. RESULTS: Overall 171,488 people were screened and 18,683 cases were notified, including 197 individuals with drug-resistant TB. Annual TB notifications in Karachi increased from 18,105 in 2014 to a maximum of 25,840 (40% increase). The proportion of cases in Karachi notified by the centres grew to 27% in 2020. Commercial revenue reached USD288,065 and enabled operating cost recovery of 15%. Average cost per TB case notified was USD203. CONCLUSION: The SEM intervention contributed a large proportion of notifications in Karachi and achieved modest cost recovery.

CONTEXTE: Les modèles existants visant à augmenter les notifications de cas de TB par le secteur privé au Pakistan ne sont pas viables financièrement et n'ont obtenu qu'un succès modeste en raison d'une couverture limitée. OBJECTIF: Évaluer l'impact d'un modèle déntreprise sociale (SEM, pour l'anglais « social entreprise model ¼) sur la détection des cas de TB à Karachi, au Pakistan, et évaluer sa viabilité financière. MÉTHODES: Des centres spécialisés ont été créés dans le secteur privé. Ils intègrent le dépistage, le diagnostic et le traitement de la TB et fonctionnent 12 heures par jour dans des lieux adaptés afin dén faciliter l'accès. Les services de lutte contre la TB étaient gratuits et les recettes provenaient des frais d'utilisation des autres diagnostics. Des prestataires privés, axés sur le secteur informel, ont été engagés par l'intermédiaire d'agents communautaires pour orienter les patients vers les services de dépistage. RÉSULTATS: Au total, 171 488 personnes ont été dépistées et 18 683 cas ont été notifiés, dont 197 personnes atteintes de TB résistante aux médicaments. Les notifications annuelles de TB à Karachi sont passées de 18 105 en 2014 à un maximum de 25 840 (augmentation de 40%). La proportion de cas à Karachi notifiés par les centres est passée à 27% en 2020. Les recettes commerciales ont atteint 288 065 USD et ont permis un recouvrement des coûts déxploitation de 15%. Le coût moyen par cas de TB notifié était de 203 USD. CONCLUSION: L'intervention SEM a contribué à une grande proportion de notifications à Karachi et a permis un modeste recouvrement des coûts.

How digital inclusive finance promotes social entrepreneurship: Evidence from 282 cities in China.

Social entrepreneurship (SE) plays a positive role in addressing a range of social issues, and thus it is essential to study how to promote SE. Using panel data from 282 Chinese cities from 2011 to 2021, this study explores the mechanism through which digital inclusive finance affects SE. The results indicate that digital inclusive finance has a positive impact on SE, which still holds after considering endogeneity and undergoing a series of robustness tests. In addition, mechanism analysis shows that digital inclusive finance affects SE by alleviating financing constraints and promoting common prosperity. Furthermore, the effect of digital inclusive finance is stronger in cities with a strong Buddhist culture and more judicially civilized. Policy recommendations are also proposed.

An Exploratory Study of the Perceived Need for and Acceptability of a Healthy Frozen Meal Product Among Rural Corner Store Customers in North Carolina.

This pilot study assesses barriers to obtaining healthy affordable food and the early-stage acceptability of a novel subsidized healthy frozen meal product designed to address food insecurity and nutritional status among corner store customers in rural North Carolina. A convenience sample of 50 customers were surveyed to examine the perceived availability of healthy food options, barriers to maintaining healthy diets, food shopping and consumption habits, and reception of the product. Findings confirmed barriers to obtaining healthy foods that the product seeks to address, the validity of corner stores as the intervention site, and approval of the product's taste and concept.

Social entrepreneurship in sport: a peripheral country perspective.

For the past decade, scholars have been working towards developing a robust theory of social entrepreneurship in sport (SES). However, SES theory remains void of peripheral country perspectives and thus perpetuates the Eurocentric views of entrepreneurship. This paper used a decolonial feminist lens and Whittemore and Knafl's methodology to conduct an integrated review of SES literature written in or about a peripheral country context. The review examined how scholarship from and about this context had considered geographical and culturally specific perspectives in the development of SES theory. A total of n = 1971 papers were retrieved, with only n = 12 providing relevant peripheral country context. This scarcity of literature indicates that the current theory of SES lacks peripheral country perspectives. Many papers in this review (n = 5) are written by authors in or from a peripheral country. Their contributions to SES literature revealed the decolonial feminist approaches that centralize alternative perspectives and added plurality to the definition of SES. The findings revealed the nuanced theoretical approaches to SES and highlighted the gaps in this context. The review shows how, despite the rise in social enterprises that focus on gender equity and the economic inclusion of women, gendered studies were still very scarce.

Exploring the economic impact of institutional entrepreneurship, social Innovation, and poverty reduction on carbon footprint in BRICS countries: what is the role of social enterprise?

The world is facing challenges to reduce carbon emissions, the complex interplay between socioeconomic dynamics and environmental sustainability is of utmost importance. In the context of the BRICS nations-Brazil, Russia, India, China, and South Africa-this study explores the intricate interactions between institutional entrepreneurship, institutional innovation, poverty reduction, social globalization, urbanization, and social entrepreneurship as well as their combined effects on the carbon footprint over the period of 1990 to 2021. This work examines the multi-dimensional interactions inside this nexus using a thorough analytical strategy that includes the Generalized Method of Moments (GMM), Three-Stage Least Squares (3SLS), and Robust regression approaches. Institutional entrepreneurship and innovation are the main forces behind institutional change and may have an impact on how people behave in terms of the environment. Strategies for reducing poverty frequently involve greater resource usage, which has an impact on carbon footprint. Examining social globalization's impact on carbon footprints is necessary given how it affects consumer habits and economic activity. Rapid urbanization is a dual problem because it spurs both increased energy demand and novel sustainability measures. With its emphasis on community-driven solutions, social entrepreneurship can provide regional solutions to reduce poverty and carbon emissions. The study's findings provide policymakers, practitioners, and researchers with insights into the complex web of socio-economic factors that underlies carbon footprint fluctuations. This research paves the way for informed policy decisions, sustainable business practices, and the pursuit of harmonious development that addresses both economic aspirations and environmental imperatives within the BRICS countries by illuminating the connections between institutional entrepreneurship, innovation, poverty reduction, social globalization, urbanization, social entrepreneurship, and carbon emissions.

Employability characteristics and their impact on social impact: An exploratory study on women's small social enterprises.

This study seeks to understand and explore how women social entrepreneurs select their employees and how this can affect their social impact. This study has two objectives. The first is to explore the most attractive employees' employability characteristics chosen by women entrepreneurs. The second objective was to explore the relationship between employability characteristics and the social impact of the social enterprises. This study used an exploratory quantitative paradigm to reach the study's findings. Multiple correspondence analysis (MCA) explores employability characteristics the women social entrepreneurs select and the relationship between the selected employability characteristics and the social impact of the women's social enterprises. The data were collected using a cross-sectional questionnaire. Data were collected from 382 employees working in 174 female social enterprises. Women social entrepreneurs were found to prefer employees with high interpersonal skills, high ethics, high physical abilities, high abilities to learn, high implicit knowledge, high reliability, and low soft skills. Linking these employability skills to social impact revealed that implicit knowledge and interpersonal skills are the most influential. A paucity of research discusses how women social entrepreneurs recruit their employees. This problem is getting worse when it comes to small social enterprises. This study led to a discussion about employability characteristics in women's social enterprises and their impact on social impact.

"I Believe More in the Ability of the Small Person to Make Big Changes": Innovation and Social Entrepreneurship to Promote Public Health in Israel.

Social entrepreneurship has grown worldwide in recent decades as it attempts to create and implement innovative solutions to social and environmental issues through business strategies. The aim of this study was to explore what motivates public health social entrepreneurs to act, the challenges and barriers they face, achievements, and competencies required for success. As such, we interviewed 15 social entrepreneurs in Israel. Budget issues, regulatory barriers, and struggles against powerful companies were the frequent barriers to success. The interviewees indicated several achievements at the health policy level by positioning and becoming an authority in the field, positively influencing other people's lives. They highlighted the importance of creativity, determination and courage, leadership, and the ability to persevere in the face of overwhelming adverse odds as essential for the social entrepreneur's success. Social entrepreneurship in public health is essential when struggling with health disparities. Nevertheless, recognizing that social entrepreneurship is not a substitute for methodological government planning and accountability is crucial.

Understanding the convergence of social enterprise, digital health, and citizen engagement for co-producing integrated Person-Centred health services: A critical review and theoretical framework.

INTRODUCTION: To achieve Universal Health Coverage and the United Nations' (UN) Sustainable Development Goals (SDGs) agenda for 2030, the World Health Organisation (WHO) recommended the use of social enterprise, digital technology, and citizen engagement in the delivery of Integrated People-Centred Health Services (IPCHS) as part of its strategic vision for 21st century primary care. METHODS: We conducted a hermeneutic review of frameworks, models and theories on social enterprise, digital health, citizen engagement and IPCHS. This involved multiple iterative cycles of (i) searching and acquisition, followed by (ii) critical analysis and interpretation of literature to assemble arguments and evidence for conceptual relationships until information saturation was reached. This process identified a set of constructs which we synthesised into a testable framework. RESULTS: Several interdisciplinary frameworks, models and theories explain how social enterprises could use digital technology, and citizen engagement to enable the technical and social integration required to facilitate people-centred primary care. Innovative approaches can be used to maintain financial sustainability while delivering IPCHS at lower cost to vulnerable and marginalised populations in both developed and developing countries. CONCLUSION: This framework provides a theoretical grounding to guide empirical inquiry into how social enterprises use digital technology to engage citizens in co-producing IPCHS.

The predictive effect of relative intuition on social entrepreneurship orientation: How do exploratory and exploitative learning and personal identity interact?

This study complements the stream of psychology studies on the effects of an individual's intuition on strategic decisions and how it shapes behavioral tendencies by extending how these effects evolve social entrepreneurship orientation in social entrepreneurship. Theoretically, we establish the nexus between relative intuition and social entrepreneurship orientation as well as the moderating roles of exploratory and exploitative learning and personal identity. Empirical validation of these nexuses was based on a cross-section of 276 certified social enterprises in China. The findings indicate that social entrepreneurs' relative intuition has a positive association with social entrepreneurship orientation. Exploratory and exploitative learning positively mediate the nexus between relative intuition and social entrepreneurship orientation. In addition, personal identity positively moderates the effects of exploratory and exploitative learning on social entrepreneurship orientation. Subsequently, we found that the link between relative intuition and social entrepreneurship orientation strengthens as the social entrepreneurs' personal identity increases. In this light, we identify relative intuition as the foundation of exploratory and exploratory learning for the development of social entrepreneurship orientation. Similarly, we shed light on how personal identity positively facilitates the roles of these factors by arousing dedication to the processes/stages of the pursuit of social entrepreneurship orientation goal attainment.

Modeling Opportunity Indicators Fostering Social Entrepreneurship: A Hybrid Delphi and Best-Worst Approach.

Opportunity as a construct has been widely examined in for-profit entrepreneurship research, but it is scarcely studied in the context of social entrepreneurship. It is being observed that many entrepreneurs venture into social enterprise because they perceive it as an opportunity. This study aims to address this phenomenon by extensively identifying the opportunity indicators that promote entrepreneurs to pursue social entrepreneurship. We accomplish this by employing a mixed-methods approach wherein we used both quantitative and qualitative data from experts and analysed it using a hybrid approach of Delphi rounds and the best-worst method. We identified 13 opportunity indicators from the literature, and in the first round of Delphi, four new indicators were added to the list by a panel of 24 experts drawn from industry and academia across India. In the second round of the Delphi method, 18 of the 24 experts took part and rated the importance of each indicator on a 5-point Likert scale. Depending on the availability of the experts, both rounds of Delphi were held in person and virtually. Based on the cut-off levels for standard deviation, interquartile range, and probability of occurrence, experts agreed on 16 indicators. Furthermore, a best-worst method approach was used to prioritise these indicators based on the opinions of industry and academic experts. The study used a theoretical lens of entrepreneurial opportunity and its two different views: objectively discovered and subjectively perceived. The results revealed a consensus among academicians and practitioners for objectively discovered opportunity indicators, which gave the highest priority to "institutional support" and "funding opportunities."

How can entrepreneurs experience inform responsible health innovation policies? A longitudinal case study in Canada and Brazil.

AIM: To foster equity and make health systems economically and environmentally more sustainable, Responsible Innovation in Health (RIH) calls for policy changes advocated by mission-oriented innovation policies. These policies focus, however, on instruments to foster the supply of innovations and neglect health policies that affect their uptake. Our study's aim is to inform policies that can support RIH by gaining insights into RIH-oriented entrepreneurs' experience with the policies that influence both the supply of, and the demand for their innovations. METHODS: We recruited 16 for-profit and not-for-profit organisations engaged in the production of RIH in Brazil and Canada in a longitudinal multiple case study. Our dataset includes three rounds of interviews (n = 48), self-reported data, and fieldnotes. We performed qualitative thematic analyses to identify across-cases patterns. FINDINGS: RIH-oriented entrepreneurs interact with supply side policies that support technology-led solutions because of their economic potential but that are misaligned with societal challenge-led solutions. They navigate demand side policies where market approval and physician incentives largely condition the uptake of technology-led solutions and where emerging policies bring some support to societal challenge-led solutions. Academic intermediaries that bridge supply and demand side policies may facilitate RIH, but our findings point to an overall lack of policy directionality that limits RIH. CONCLUSION: As mission-oriented innovation policies aim to steer innovation towards the tackling of societal challenges, they call for a major shift in the public sector's role. A comprehensive mission-oriented policy approach to RIH requires policy instruments that can align, orchestrate, and reconcile health priorities with a renewed understanding of innovation-led economic development.

Using telehealth to support community health workers in Uganda during COVID-19: a mixed-method study.

BACKGROUND: At the onset of the COVID-19 pandemic, a local consortium in Uganda set up a telehealth approach that aimed to educate 3,500 Community Health Workers (CHW) in rural areas about COVID-19, help them identify, refer and care for potential COVID-19 cases, and support them in continuing their regular community health work. The aim of this study was to assess the functioning of the telehealth approach that was set up to support CHWs during the COVID-19 pandemic. METHODS: For this mixed-method study, we combined analysis of routine consultation data from the call-center, 24 interviews with key-informants and two surveys of 150 CHWs. Data were analyzed using constant comparative method of analysis. RESULTS: Between March 2020 and June 2021, a total of 35,553 consultations took place via the call center. While the CHWs made extensive use of the call center, they rarely asked for support for potential Covid-19 cases. According to the CHWs, there were no signs that people in their communities were suffering from severe health problems due to COVID-19. People compared the lack of visible symptoms to diseases such as Ebola and were skeptical about the danger of COVID-19. At the same time, people in rural areas were afraid to report relevant symptoms and get tested for fear of being quarantined and stigmatized. The telehealth approach did prove useful for other purposes, such as supporting CHWs with their regular tasks and coordinating the supply of essential products. The health professionals at the call center supported CHWs in diagnosing, referring and treating patients and adhering to infection prevention and control practices. The CHWs felt more informed and less isolated, saying the support from the call center helped them to provide better care and improved the supply of medicine and other essential health products. CONCLUSIONS: The telehealth approach, launched at the start of the COVID-19 pandemic, provided useful support to thousands of CHWs in rural communities in Uganda. The telehealth approach could be quickly set up and scaled up and offers a low cost strategy for providing useful and flexible support to CHWs in rural communities.

Government as a Facilitator versus Inhibitor of Social Entrepreneurship in Times of Public Health Emergencies.

COVID-19 established the need for even more social entrepreneurship globally. It is important for keeping society together in times of crises because it creates an environment that improves the quality of life during hard times and public health emergencies such as COVID-19. Even though it plays a unique role in returning things back to normal after a crisis, it faces opposition from many parts of society, especially the government. Still, there are not many studies that look at what the government should do to help or stop social enterprise during public health emergencies. That is why the goal of this study was to find out how the government has helped or hindered social entrepreneurs. Content analysis was conducted on the carefully mined data from the internet. The research found that regulations for social enterprises should be loosened, especially during and after pandemics and disasters. This could also make it easier to accomplish things in the government. It was also found that, in addition to financial help, capacity building through training can help social enterprises do more and make a bigger difference. This research provides broader guidelines for policymakers and new entrants in the field.

Social entrepreneurial intention among working adults: An emerging country context.

Under the premise of the value-belief-norm (VBN) model, this study examined the influence of values, beliefs and norms on social entrepreneurial intention of working adults in China. The cross-sectional design was employed, and an online survey, which involved 1,075 working adults, was conducted. All data were analyzed using partial least squares-structural equation modeling (PLS-SEM). The obtained results showed the significant and positive influence of self-enhancement, openness to change, and self-transcendence on the sense of meaning and purpose. Moreover, the sense of meaning and purpose exhibited significant and positive influence on problem awareness, and problem awareness was found to have positive effect on outcome efficacy. Besides that, the sense of meaning and purpose, problem awareness, outcome efficacy, and injunctive social norms were found to exhibit significant and positive on personal norms. Finally, personal norms and injunctive social norms exhibited statistically significant and positive influence on social entrepreneurial intention. The results of effect size confirmed the considerable influence of personal norms and injunctive social norms on social entrepreneurial intention. Therefore, policy development aimed at promoting socioeconomic and environmental sustainability through social entrepreneurship should comprehensively consider the influence of personal norms and injunctive social norms. Increasing the sense of meaning and purpose of the working population, prompting an increased problem consequence and outcome self-efficacy, as well as instilling personal norms and injunctive social norms through various social and environmental incentives are recommended.

The Consequences of Financial Leverage: Certified B Corporations' Advantages Compared to Common Commercial Firms.

Firms usually need to attract debt to form and grow, but increasing financial leverage also entails increased risks and costs for stakeholders, such as customers and employees. Accordingly, past research suggests that for common commercial firms (CCFs), which prioritize profits, higher leverage leads to lower sales growth and higher employment costs. However, Certified B Corporations (CBCs) distinguish themselves by having a credible prosocial mission and, therefore, might be better insulated against the adverse effects of higher leverage. Using a European multi-country matched sample of 136 CBCs and 136 CCFs, we find that the negative relationship between leverage and sales growth and the positive relationship between leverage and employment costs are weaker for CBCs than CCFs. Taken together, due to their certified prosocial mission, CBCs enjoy an advantage in debt financing compared to CCFs. Supplementary Information: The online version contains supplementary material available at 10.1007/s10551-023-05349-5.

Creation of Work Integration Social Enterprises (WISEs) by Social Action Organizations: Proposal of a Model for Decision-Making.

Successive crisis in Europe have contributed to rethink welfare state and the entrepreneurial role of Third Sector organizations in the provision of community services that progressively have created social enterprises. Its creation is the result of a decision-making process that is collective, not individual, and of a strategic nature, in which the organization's culture plays a relevant role. This work aims to describe and analyze the entrepreneurial process, and the key elements that determines the decision of creating a work insertion social enterprise by its promotor entity. As a result, this article proposes an explicative model of social enterprises creation and makes an empirical validation, using Delphi Method in Spanish work insertion social enterprises case.

Las sucesivas crisis en Europa han contribuido a una puesta en cuestión del estado de bienestar y, con ello, al rol emprendedor o productivo de las organizaciones del Tercer Sector en la provisión de servicios a la comunidad, en la medida en que éstas han creado empresas sociales progresivamente. Su creación es el resultado de un proceso de toma de decisión que es colectivo, no individual, y de naturaleza estratégica, en el que la cultura de la organización juega un rol relevante. Este trabajo trata de describir y analizar el proceso emprendedor y los elementos clave que determinan la decisión de crear una empresa de inserción social, por parte de su entidad promotora. Como resultado, este artículo propone un modelo explicativo de la creación de empresas sociales y realiza una validación empírica con las empresas de inserción españolas, utilizando el método Delphi.