Thinking About Your Future: Nursing in the 21st Century

2013 ◽  
Vol 19 (1) ◽  
pp. 6-11
Author(s):  
Joel Barker

Successful preparation for the future requires strategic exploration—“what you do before you plan.” Scouting the future involves quickness, sampling rather than exhaustive examination, and qualitative information that will enhance leaders’ decision making. Strategic exploration requires skills in monitoring trends, innovations, and paradigm shifts (TIPS); examining the long-term implications of those elements; examining the impact of specific changes; and creating visions based on what we have learned.

2008 ◽  
Vol 8 (1) ◽  
pp. 4-10 ◽  

AbstractIn this analysis of the future of our profession, Barbara Tearle starts by looking at the past to see how much the world of legal information has evolved and changed. She considers the nature of the profession today and then identifies key factors which she believes will be of importance in the future, including the impact of globalisation; the potential changes to the legal profession; technology; developments in legal education; increasing commercialisation and changes to the law itself.


Author(s):  
Sean Peckover ◽  
Aldo Raineri ◽  
Aaron T Scanlan

This study aimed to examine the views of runners regarding their experiences with congestion during running events, including its prevalence, its impact on their safety and satisfaction, and their preferred controls to mitigate congestion. Runners (n = 222) with varied experience participating in running events (1-5+ years, 5-km races to Ultramarathons, and a mixture of road, trail, and cross-country events) completed an electronic survey. The survey was developed to assess the characteristics of respondents, whether they have experienced congestion during running events, the impact of congestion they have experienced during running events on their safety and satisfaction, and their preferred controls for congestion during running events. Survey data indicated runners had experienced some form of congestion prior to the race in the start corrals (93% of respondents), as the race started (97% of respondents), and during the race while running (88% of respondents). In turn, 73% of respondents indicated their experiences with congestion somewhat to extremely (i.e., rating of at least 3 on a 5-point Likert scale) negatively impacted their satisfaction with an event, while 43% of respondents indicated congestion somewhat to extremely negatively impacted their safety during an event. Regarding the impact of congestion on runner safety, 38% of respondents indicated they had slipped, while 27% of respondents indicated they had fallen during running events due to congestion. Further, congestion was attributed to injuries sustained (9%) and not finishing a race due to sustaining an injury (5%) during running events in some respondents. Respondents identified seeding runners based on previous run times (91%), use of wave starts (91%), and designing courses with limited pinch points, U-turns, and narrow paths (89%) as their most preferred controls to mitigate congestion during running events. Respondents resoundingly indicated self-seeding is not an effective method of managing congestion during running events. This study provides novel evidence that congestion is an issue for runners during running events, subsequently diminishing their satisfaction with events and posing safety concerns. In this way, race directors should involve runners in their decision-making processes when implementing appropriate controls to combat congestion for minimising injury risk to runners and ensuring a viable participant base remains attracted to their events in the future.


Author(s):  
Allahyar Muradov Et al.

Sustainability in education is important in ensuring knowledge-based and innovation-driven development and human capital reproduction. Sustainability is particular important for the prevention of some economic and social problems that may arise in the future and raising the competitiveness of the country. Sustainability - the prevention as some of economic and social problems that may arise in the future is of particular importance in raising the country's competitiveness. The aim of the research is to estimate the economic-social benefits of regulation of sustainability in education and to give the suggestions in the direction of the improvement of the effectiveness of the regulation. The impact of continuity in education on the formation and development of human capital, knowledge-based society building, labour intelligence, competitiveness and the improvement of welfare are assessed cross-country in the article. In particular, in recent years, researches and politicians have analysed the ‘4th industry’ revolution (‘Industry 4.0’) ‘the benefits and losses in the medium and long-term perspective and its interaction with the sustainability of education. Here are two issues: 1) socioeconomic disadvantages of ensuring sustainability in education, 2) socioeconomic advantages of ensuring sustainability in education. Firstly, it is analysed the impacts of increased unemployment, reduction of employment income, declining social security and welfare that will be resulted as problems on economic development. Secondly, it is analysed (ensuring in sustainability condition) the distinguished factors of rapid technological innovation, labour productivity, repatriation of human capital, raising competitiveness on the international level, innovation-based development, economic benefits of knowledge and skills.


2021 ◽  
pp. 109-128
Author(s):  
Michael K. MacKenzie

This chapter makes three arguments in support of the claim that we need inclusive deliberative processes to shape the future in collectively intentional, mutually accommodating ways. First, inclusive collective decision-making processes are needed to avoid futures that favour the interests of some groups of people over others. Second, deliberative processes are needed to shape our shared futures in collectively intentional ways: we need to be able to talk to ourselves about what we are doing and where we want to get to in the future. Third, deliberative exchanges are needed to help collectivities avoid the policy oscillations that are (or may be) associated with the political dynamics of short electoral cycles. Effective processes of reciprocal reason giving can help collectivities maintain policy continuity over the long term—when continuity is justified—even as governments and generations change.


Agronomy ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. 397 ◽  
Author(s):  
Giovanni Sgubin ◽  
Didier Swingedouw ◽  
Iñaki García de Cortázar-Atauri ◽  
Nathalie Ollat ◽  
Cornelis van Leeuwen

A comprehensive analysis of all the possible impacts of future climate change is crucial for strategic plans of adaptation for viticulture. Assessments of future climate are generally based on the ensemble mean of state-of-the-art climate model projections, which prefigures a gradual warming over Europe for the 21st century. However, a few models project single or multiple O(10) year temperature drops over the North Atlantic due to a collapsing subpolar gyre (SPG) oceanic convection. The occurrence of these decadal-scale “cold waves” may have strong repercussions over the continent, yet their actual impact is ruled out in a multi-model ensemble mean analysis. Here, we investigate these potential implications for viticulture over Europe by coupling dynamical downscaled EUR-CORDEX temperature projections for the representative concentration pathways (RCP)4.5 scenario from seven different climate models—including CSIRO-Mk3-6-0 exhibiting a SPG convection collapse—with three different phenological models simulating the main developmental stages of the grapevine. The 21st century temperature increase projected by all the models leads to an anticipation of all the developmental stages of the grapevine, shifting the optimal region for a given grapevine variety northward, and making climatic conditions suitable for high-quality wine production in some European regions that are currently not. However, in the CSIRO-Mk3-6-0 model, this long-term warming trend is suddenly interrupted by decadal-scale cold waves, abruptly pushing the suitability pattern back to conditions that are very similar to the present. These findings are crucial for winemakers in the evaluation of proper strategies to face climate change, and, overall, provide additional information for long-term plans of adaptation, which, so far, are mainly oriented towards the possibility of continuous warming conditions.


2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 693-693
Author(s):  
P Lemaster ◽  
A Faber ◽  
K Fernholz ◽  
K Finch ◽  
E Kransvik

2019 ◽  
Vol 14 (3) ◽  
pp. 238-246 ◽  
Author(s):  
Joji B Kuramatsu ◽  
Hagen B Huttner

Background The most recent years have significantly expanded knowledge regarding risks and benefits of resuming oral anticoagulation (OAC) after intracerebral hemorrhage (ICH). No randomized data is yet available, though several large observational studies and meta-analyses have investigated the impact of resuming OAC on thromboembolic versus hemorrhagic complications in these high-risk patients after ICH. Aims The present review will summarize the most important studies conducted over the last years and will focus on relevant factors help guiding on decision-making on whether to start OAC after ICH. Summary of review Several important factors (demographic, co-morbidities, clinical characteristics) need to be considered before individual decision-making for or against OAC is employed. Existing observational data suggest that patients after ICH with indication for long-term oral anticoagulation benefit from OAC given significant reductions of thromboembolic events without significantly increasing bleeding complications. Studies even suggest that thereby also clinical outcomes may be improved. Prospective trials currently recruiting patients will clarify whether OAC after ICH – or left atrial appendage closure as a meaningful alternative – is of clinical net-benefit. Conclusions Large sized and well-executed investigations (moderate quality of evidence) are showing that OAC resumption after ICH decreases thromboembolic complications and long-term mortality without significantly increasing bleeding complications. Further, data suggest that resumption may be safer in non-lobar ICH compared to lobar ICH, but overall, thoughtful selection, strict blood pressure control, and precise communication are paramount before starting a patient on OAC after ICH.


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