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In 2016, the National Assembly adopted a new collective bargaining and dispute settlement regime for the municipal sector. Bill 110 can be described as exceptional in that it breaks with the rules governing collective labour relations in this sector which, since 1964, had been an integral part of the Labour Code. The new regime significantly modifies the method of appointing arbitrators called upon to settle disputes between municipal employers and trade unions, particularly those representing police officers and firefighters, and the guiding principles for determining working conditions for all categories of employees. In addition, it introduces several decision-making criteria that limit the discretionary margin of third-party decision-makers. The consequences of these particularities are analyzed in relation to the general framework established by the Code and give rise to a critical look at the mediation and arbitration tools available to the parties to help them settle their disputes, as well as a consideration on the legislative policy concerning labour issues.

Unique in Canada, the model of Palliative Care Day Centers (PCDC) in Quebec is direcdy inspired by PCDC in the United Kingdom: a flexible formula where services are offered according to expressed needs. The attendance of a PCDC will be useful for some to meet their need for information about the disease and symptoms of palliative care, and for others in their need to share their experiences. At the heart of this flexible service offering lies the ethos of palliative care: to improve the quality of life for the sick and their loved ones through a holistic approach. In fact, attending a PCDC allows many to break the isolation induced by the disease, as contact with others becomes a generator of meaning in life, personal transformations, landmarks to reconnect with one's identity, and the adaptation to life with the disease, death, and grief However, this flexibility affects the possibility of finding a common and lasting definition of PCDC. To contribute to the recognition of these unique places, this article describes the results of a qualitative research conducted with 14 professionals from five PCDC between November 2022 and March 2023 to document the innovative and interdisciplinary approaches deployed in PCDC to better understand their effects on users. The data from these individual interviews were analyzed following the principles of the method proposed by Paillé and Mucchielli (2012). The results describe the organization of teamwork in PCDC, the advantages and challenges of collaboration within PCDC teams, the approaches recommended by professionals, and innovative practices in PCDC. ln conclusion, this article well describes how PCDC are deeply rooted in the communities they belong to, adapting services to local realities. lt also highlights the tension experienced by PCDC in wanting to standardize their services from one center to another to meet government requirements for stabilizing their funding while trying to remain attentive to the evolving and specific needs of the community in which they are rooted.

Keywords: Palliative care day center, Centre de jour en soins palliatifs, Pratiques innovantes, caring community, teamwork, Communauté bienveillante, palliative care services, Travail d’équipe, Services de soins palliatifs, innovative practices