Uncertain Future Research Articles

Experiences of parents of children with mental illnesses: A systematic review and meta-ethnographic synthesis.

In this paper, we present a qualitative meta-ethnographic synthesis of 26 articles reporting experiences of subjective burden in 389 parents of children with mental illnesses. The studies were identified through a systematic literature search of PubMed, CINAHL Ultimate, APA PsycInfo, and MedLine Ultimate. We conducted a quality appraisal and followed the seven stages of meta-ethnographic synthesis. We developed a line of argument synthesis in the form of a model that depicts the subjective, temporal, and psychological experiences of parents. The model proposes a cyclical process characterized by five stages, each depicting a transitional point in which parents re-evaluate their experiences: caring for an intimate stranger; turning point; unavoidable role; uncertain future; transcendence. This model highlights the complex psychological processes that parents endure when caring for a child with a mental illness. The review highlights several methodological issues in this field of research, including issues related to sampling, poor reporting of data analysis, limited critical appraisal, and a lack of reflexivity. Future research should address the gaps in the literature while also attending to the issues that have been highlighted by this review.

Defining human resource development: an integrative literature review

PurposeHuman resource development (HRD) poses complex challenges for scholars and practitioners due to its elusive nature in definition, scope, and boundaries. Driven by lived experiences, this integrative literature review aims to explore the complexities of HRD, focusing on its conceptualizations, boundaries, and trajectories from 1990 to 2023.Design/methodology/approachUsing Callahan’s (2014) Six Ws, Page et al. (2020) Preferred Reporting Items for Systematic Reviews and Meta-Analyses search process, and Lester et al. (2020) thematic analysis, 26 peer-reviewed articles from leading HRD journals and databases were analyzed.FindingsThis literature review’s findings enhance our understanding of HRD’s trajectory by illuminating its tumultuous beginnings, precarious present, and uncertain future – potentially even its demise. The author urges prominent HRD scholars to take decisive action to secure the discipline’s future before it is too late.Research limitations/implicationsOne limitation is the reliance on specific articles for data analysis. The propensity to emphasize only the prevailing viewpoint is a constraint inherent in literature reviews (Dickson et al., 2011). Another limitation is this study’s reliance on articles exclusively from English-speaking literature. By focusing solely on publications in English, this study overlooked HRD literature published in other languages, potentially excluding valuable insights and perspectives from non-English-speaking regions and cultures.Originality/valueOver the years, the debates regarding the definition of HRD have been fraught with ambiguity and contradictions. The boundaries of HRD remain similarly nebulous, with scholars debating its scope and applicability across contexts. This literature review adds to this debate from a unique perspective.

Learning for an uncertain future: artificial intelligence a challenge for Pakistani education system in the era of digital transformation

PurposeThe rapid advancement of AI in education brings both significant challenges and opportunities. In Pakistan, where the educational system is facing numerous issues, AI integration has raised significant concerns. Therefore, this study aims to explore the challenges AI poses to the Pakistani education system in the era of digital transformation.Design/methodology/approachA focus group was conducted with 13 participants, including educators and heads of departments from universities located in Rawalpindi and Islamabad. Thematic analysis was used to generate themes from the data.FindingsThe study findings indicated that AI integration in education can provide personalized and adaptive learning and teaching experiences by bridging the educational divide through easy access to quality education. Participants also highlighted the anxieties related to the digital divide as a great challenge for Pakistan. The integration of AI and automation in education is also raising concerns about job displacement for educators.Originality/valueIt highlighted that the integration of AI into the educational system can also bring both challenges and opportunities. To tackle these issues, potential strategies such as professional development and training programs to develop AI literacy among educators need to be introduced.

From a Wretched Past to an Uncertain and Undignified Future: The Open Secret of Manual Scavenging in India

India promises liberty, equality, justice and fraternity with dignity of life through the Constitution to every citizen without any discrimination. However, a particular section of society has been deprived of these promises due to their birth, gender and occupation. This section happens to be part of the generically termed ‘Dalits’ who are the lowest of the lower castes among the Hindus. They are known as manual scavengers who carry human excreta and clean dry latrines, sewers, and septic tanks more often with bare hands. This practice of manual scavenging is involuntary in nature. The scavengers not only suffer from extreme forms of social exclusion but also gross violations of human rights and dignity. However, ironically, despite several efforts as well as denial of its existence by the government, this inhuman practice still continues to exist in India. In fact, it has given birth to a new subtle form of untouchability which is an anathema to the constitutional promise. Therefore, the main aim of this article is an investigation of the nexus between caste and occupation. This article, in fact, suggests that for the annihilation of this practice, there is the need for an inclusive approach and overall behavioural change.

Do temporary employees experience increased material deprivation? Evidence from German panel data

Economic insecurity has recently received increasing attention as a determinant of material deprivation. We contribute to this line of research by analysing the relationship between temporary employment and material deprivation. We argue that temporary workers face exacerbated deprivation because they may forego basic needs to provide for an uncertain future. Using German panel data for the years 2008–2020, we find that temporary employment increases material deprivation among workers, particularly in low-income households. This finding is robust to our controlling for important variables such as household income and needs, individual- and household fixed effects and when considering lagged independent variables. The association is not driven by young or highly educated workers who may be more likely to hold temporary jobs without experiencing sustained material deprivation. We also find that temporary agency work, perceived job insecurity and firm turnover rates aggravate material deprivation. This supports the theoretical assumption that the impact of temporary employment on material deprivation is driven by the economic insecurities faced by temporary workers.

QOL-09. “I’VE DEFINITELY CHANGED WHO I AM”: A THEMATIC ANALYSIS OF CHALLENGES FACED BY PATIENTS WITH IDH-MUTANT GLIOMAS

Abstract BACKGROUND Despite their more favorable prognosis, patients with isocitrate dehydrogenase (IDH)-mutant gliomas experience significant psychological distress across their disease trajectory. The specific drivers of distress in this population are poorly understood, and interventions to support these patients are lacking. We sought to better characterize drivers of distress and ways to enhance support for patients with IDH-mutant gliomas as they confront potentially prolonged but ultimately unpredictable survival with an incurable, progressive brain tumor. METHODS Eligible individuals were English-speaking adults ages 65 and younger diagnosed with an IDH-mutant glioma at a single academic medical center. We conducted semi-structured interviews (N=20) to better understand the distress patients experience as they progress along their illness trajectories. We audio-recorded and transcribed interviews and analyzed interview content using reflexive thematic analysis. RESULTS Distress among participating patients (female = 7/20; age <40 years = 10/20) was linked to their struggles to maintain a coherent sense of identity while adapting to 1) neurocognitive changes and 2) altered life plans amidst prognostic uncertainty. Patients described feeling self-conscious and distrustful of their cognitive capacities, frequently comparing their current performance to their premorbid functioning (e.g. by checking their symptoms and indexing perceived deficits against scan results). Patients felt overwhelmed by the need to make decisions and set priorities (e.g., regarding family planning, retirement) due to the uncertain timing of their tumor’s progression and its unclear impact on their future functioning. Patients identified the transition from treatment to surveillance as a time of heightened worry, as they shifted their focus from the logistics of cancer care to the task of planning – financially, occupationally, socially – for an uncertain future. CONCLUSION These findings highlight the need for tailored supportive care to help patients with IDH-mutant gliomas cope with the distress caused by significant changes to identity and ongoing uncertainties regarding their future.

Navigating integrity and innovation

As generative artificial intelligence (GenAI) continues to disrupt the way higher education is delivered, universities are responding at pace with strategies and resources to ensure responsible and ethical use of the technology by our students as they prepare for future professions. The integration of GenAI into teaching and learning activities is being diffused into educators’ practice on a spectrum from caution through to positive educational transformation. In this paper, a team of educational designers in an Arts Faculty shares case studies and reflections from our educator colleagues to explore the uneven uptake of the technology. We argue that the focus on assessment security is blurring the potential of GenAI to create collaborative, exploratory and expansive learning experiences for our students. We suggest a programmatic approach to ‘becoming’ a graduate will allow space for educators to interrogate their teaching, learning and assessment activities to ensure our graduates can imagine themselves as professional selves in an uncertain future.

Searching for “The New Oil”: Preemptive Hope and Post‐Petroleum Futures in Norway's Oil Capital

AbstractThis article explores the role of imaginaries of preemptive hope in second‐tier cities and regions within the global petroleumscape that face an uncertain future in a post‐petroleum world order. It highlights the importance of such imaginaries in discussions of stability, destabilisation, and ruptures in the petroleum landscape. The article examines the assumptions and presuppositions that undergird the post‐petroleum imaginaries in Stavanger, Norway's oil capital and self‐proclaimed energy capital of Europe, and how these can be conceptualised as imaginaries of preemptive hope. These imaginaries are framed as a promise of a new oil waiting to be realised—thus promising a status quo post‐petroleum future that only requires technical adjustments. These new oil imaginaries become forms of repair and maintenance of the petroleumscape because they primarily promise to maintain the wealth, status, and privileges attained from their position in the petroleumscape—a promise that they are unable to realise. The broader implication of the study is that we need to pay more attention to the imaginable post‐petroleum futures governing second‐tier cities’ and regions’ economic strategies in maintaining the status quo, not just the actions of global oil majors and leading petro‐states.

Progress Stalled? The Uncertain Future of Mortality in High‐Income Countries

AbstractSteady and significant improvements in life expectancy have been a bright spot for human progress for the last century or more. Recently, this success has shown signs of faltering in some high‐income countries, where mortality improvements have slowed or even reversed since the early 2010s. Combined with the large mortality shock of the COVID‐19 pandemic, guaranteed forward progress feels less certain. We review mortality trends in high‐income countries since 2000 through the COVID‐19 pandemic. While deteriorating mortality in the United States has received the most attention, countries including the United Kingdom, Canada, the Netherlands, Greece, and Germany are also seeing slowdowns. Before COVID‐19, these slowdowns largely reflected stalling improvements in cardiovascular disease mortality and increases in deaths from external causes in young and midlife for the worst‐performing countries. We discuss prospects for the future of mortality in high‐income countries, including lingering impacts of the COVID‐19 pandemic, challenges and opportunities related to the obesity epidemic, and emerging reasons for both optimism and pessimism. While biological limits to increased life expectancy may eventually dominate long‐term trends, human‐made social factors are currently holding many countries back from already achievable best‐practice life expectancy and will be key to near‐term improvements.

Organizing for future war and warfare: Complexity as ‘folk theory’ in NATO policy

Geopolitical and societal changes are increasingly narrated using the concept of complexity. In a range of policy contexts, from climate to finance and peacekeeping to defence and security, complexity is often prominent. This article explores the contemporary expressions of complexity in defence and security scholarship and policy. To understand the expressions of complexity, we view it as a ‘folk theory’ – what others have called a category of practice. We illustrate how this folk theory has gained prominence in NATO policy regarding the organizing of future war and warfare as one example of a policy context in which expressions of complexity are produced and promoted. Specifically, we examine NATO’s future warfighting concept – multi-domain operations – and explore how the concept offers a way and a new language to make sense of an uncertain future and make it governable from the present. We discuss some consequences of a ‘folk theory’ becoming the explanation rather than one of many explanations of the future defence and security landscape. As a representative of folk theory, complexity offers a strong performative master narrative for a variety of orientations, yet one whose practical relevance for the organization of security can be questioned.

Cooking and Commensality after COVID

The focus of this essay is the COVID and post-COVID food media output of celebrity chef Jamie Oliver. Through a close reading of his cookbook Together: Memorable Meals Made Easy and its accompanying TV series Jamie Oliver: Together, the essay explores how forms of commensality are mobilized in these food media texts to establish a post-COVID “new normal,” with an emphasis on sharing food as a way of making and banking memories for a still uncertain future. The essay concludes my two-part exploration of cooking and eating together as responses to a crisis, drawing out common issues shared with my earlier essay about commensality after the Grenfell fire in London (Bell 2024).

An uncertain future: perspectives of emerging adults with inflammatory bowel disease—a qualitative semistructured interview study in eastern China

ObjectiveFor emerging adults with inflammatory bowel disease, future uncertainty is a critical issue during this pivotal stage of life, study and career development, as they encounter many unknown challenges and opportunities. However, to the best of our knowledge, only a few qualitative studies on how emerging adults with inflammatory bowel disease cope with these uncertainties exist. This study aimed to investigate uncertainties associated with the future of emerging adults with inflammatory bowel disease and explore coping strategies.DesignA qualitative semistructured interview study with a phenomenological approach. Face-to-face semistructured interviews were conducted, audio-recorded, transcribed verbatim and subsequently analysed using the Colaizzi seven-step analysis method.SettingA tertiary hospital in eastern China.ParticipantsParticipants (n=14) were emerging adults with inflammatory bowel disease recruited from a tertiary hospital in eastern China, using a purposeful sampling technique.ResultsFourteen patients completed the interviews. Four themes were identified: uncertainties in educational and vocational planning, social and interpersonal relationships, mental and emotional health and disease management. Moreover, the participants emphasised the significance of timely patient education postdiagnosis and ensuring consistent medical guidance after discharge to minimise uncertainty and alleviate confusion. They also hoped to manage the disease through traditional Chinese medicine.ConclusionsThis study provides valuable insights into the various challenges encountered by emerging adults with inflammatory bowel disease and the factors that may impact their experiences. Additionally, it suggests the need for healthcare providers to devise suitable support and intervention strategies to guide and establish stable management of the patients’ uncertain futures.Trial registration numberChiCTR2300071289.

Looking back to look forward: Disruption, innovation and future trends in international human resource management

Recent global challenges, particularly the COVID-19 pandemic, have underscored the critical role of human resources in international business, pushing disruptions and innovations to the forefront of international human resource management (IHRM) research and practice. This special issue editorial provides a timely and in-depth examination of the evolving IHRM landscape, reflecting on the profound changes brought by the pandemic and investigating the transformative potential of AI-driven innovations in shaping an uncertain future. Through our exploration, we challenge several dangerous assumptions that global leaders must navigate and propose a forward-looking research agenda for the IHRM field. Our analysis highlights five key themes: (1) demographic shifts and diversity, (2) evolving patterns in globalization and global mobility, (3) the complexities of managing global workforces, (4) emerging dynamics in international careers, and (5) the role of multinational enterprises (MNEs) and international small- and medium-sized enterprises (SMEs). Together, these themes offer a comprehensive framework for advancing IHRM research and practice in an increasingly complex and dynamic global environment.

The Okuru skink (Oligosoma carinacauda sp. nov) of South Westland, New Zealand-simply elusive or extinct?

A small brown, longitudinally striped skink from Okuru, South Westland, New Zealand is described as Oligosoma carinacauda sp. nov. It is distinguished from all congeners by the combination of three supraocular scales and a keeled tail. The species is known only from a single specimen, collected from sphagnum moss within supralittoral dune habitat at Mussel Point, Okuru in 2000. Follow-up targeted surveys undertaken since by expert herpetologists have failed to relocate the species to date. As it is known that many New Zealand lizard species face a perilously uncertain future due to anthropogenic-induced pressures such as habitat loss, predatory pests, and climate change, there are serious concerns for the survival of this species.

Succeeding in an Era of Volatility: Leadership Strategies for an Uncertain Future

The business landscape has undergone immense changes in recent decades due to factors like globalization, technological disruption, shifting workforce and customer demographics, and economic turbulence, creating a profoundly uncertain and volatile environment that requires constant adaptation for companies to avoid obsolescence. However, by drawing from research on complex adaptive systems and uncertainty management, the article provides strategies for cultivating agile, resilient cultures focused on embracing uncertainty and continuous adaptation to thrive amid unpredictability. Leaders must foster agility through empowering experimentation, risk-taking, and iterative learning from failures to build resilience emphasizing adaptability, interdependence, diversity, communication, and flexibility, while embracing ambiguity recognizes leaders cannot predict the future and respond to new opportunities. Continuous learning and adaptation are also critical using flexible structures, short feedback loops, and scenario planning to identify weaknesses. The article then outlines an adaptive leadership framework to assess an organization's agility, resilience, and change readiness, proposing specific actions to decentralize decision-making, accelerate innovation, strengthen networks, communicate purpose, and conduct regular assessments/reviews, demonstrated through a banking example of innovative digital platforms, startup culture, customer empowerment, and experimentation enabling thriving amid turbulence. By developing cultures focused on continuous transformation over control and adaptability, companies gain strategic flexibility to reconfigure successfully amid unpredictability.

Addressing US Military Transgender Care Inequalities: Clinical Nurse Specialist Bridging Healthcare Gaps.

There are more than 130 000 US veterans and more than 12 500 active-duty service members who identify as transgender. Lack of training in transgender and gender-affirming care among healthcare providers in the military is still reported. The article aims to explore and advocate for the unique role of advanced practice registered nurses, especially clinical nurse specialists, in providing culturally sensitive and evidence-based care to the transgender population within the US military. The clinical nurse specialists' pivotal role in policy advocacy and translation of evidence to improve the quality of care and patient outcomes for transgender service members is highlighted. The article also explores the historical journey of transgender care in the US military, addressing discriminatory policies and the implications of the ever-evolving regulations in military transgender healthcare. The article aims to create awareness of clinical nurse specialist utilization in US military healthcare services to improve the care of transgender individuals in the military. The uncertain future for transgender service members highlights the ongoing commitment needed to navigate complex military healthcare policies and foster inclusive, evidence-based practices. Therefore, the clinical nurse specialist plays a pivotal role in shaping the future of transgender healthcare within the US military.

The Behavior of Housewives in the Management of Fixed and Non-fixed Income to Anticipate Economic Problem in the Future. Macassar, Indonesia

Type of qualitative research through phenomenological, approach as for hsl research shows that the role of housewives in managing finances and anticipating the future is increasingly recognized, especially in the context of gold investment as a strategy to protect family wealth from market fluctuations and economic uncertainty. Gold investment is seen as a stable and profitable option in the long run, which allows housewives to plan wisely for the future of their family. The majority of housewives view gold as the ultimate investment, based on a good understanding of the benefits and associated risks, as well as adopting a careful investment strategy, including setting clear goals, consistency in investment, choosing a trusted investment platform, and following market developments. With awareness of the importance of gold investment and continuing financial education, housewives can build a strong foundation for family financial stability, maintain peace of mind in the face of an uncertain future, and provide a solid foundation for future generations.

5.Y.1. Refugees and mental health

Abstract Research suggests an elevated risk of mental health conditions (depression, posttraumatic stress disorder, anxiety) among refugees, due to exposure to trauma, displacement, and the challenges of adapting to new environments. Children and adolescents with refugee background face additional challenges, including family disruptions, education interruptions, and uncertain futures. However, the data are heterogeneous and more detailed data are needed. To address this gap, we present data on refugee’s mental health and resilience. First, data on resilience and mental health from Germany are presented. These data are adjusted for demographics and suggest that in case data are adjusted to the living situation in the host country the migrant status is less relevant. The second study presents the mental health of refugee adolescents and children in Greece. The third study presents results based on a Portuguese prospective cohort study Perinatal Health in Migrants: Barriers, Incentives, and Outcomes (baMBINO). This study investigates postpartum depression among refugee women in Portugal highlighting the need for access to care. Last, a systematic review and meta-analysis provides data on depression, anxiety and stress of 62,522 refugees from more than 30 countries. This data suggests that life experiences are critical for refugees’ mental health. Based on the presentations the audience will be engaged in discussion on how to better early prevent mental health conditions in refugees. Key messages • Mental health of refugees is a Public Health challenge. • Pre- and post migration experiences impact refugees and migrants mental health conditions.

The Attitudes of Households for Disaster Risk Management in Fogera, Estie and Ebenat Woredas

The underlining disaster risk management practice translates the combination of knowledge, attitude, and action to maximize the effectiveness of responses against disasters. While knowledge and disaster risk management activities move along simultaneously, attitudes are inherent to individuals posing challenges to easily identify issues and then taking extended time to change. Lack of scientific wisdom on the perception of individuals towards disaster management, and the limited understanding of different factors that influence attitudes, complicates the endeavor in response to the increasingly uncertain future. This study assesses the attitudes of households for disaster risk management in the nine kebeles, the lowest administrative unit in Ethiopia, and 32 villages in Fogera, Ebenat and Estie districts (Woredas, the main administrative unit similar to county). Cross-sectional quantitative method was employed, and attitudinal survey was conducted among 412 households selected through probability simple random sampling. Purposive nonprobability sampling technique was used to identify research kebeles based on disaster prevalence, and to collect supplementary attitudinal data from 64 participants representing academia and local stakeholders. Descriptive statistics and parametric test of variance and covariance have been conducted to determine the attitude levels and to assess major factors influencing households’ attitude for disaster risk management. Results indicated that most of the households (53%) have a fairly positive attitude. Households with negative (27%) and extremely negative (20%) perception are concentrated in rural kebeles that are highly affected by recurrent disasters. Therefore, households in disaster affected areas have negative and unconstructive perception for disaster risk management. This is mainly associated with lack of active community participation and ineffective risk management activities. Households’ attitude is also significantly affected by age (p = 0.0001), and within different age groups (p = 0.001), location by kebeles (p = 0.0237), education levels (p = 0.0016), education status (p = 0.004) and experience in indigenous risk management practices (p = 0.00001). In addition, this study revealed a linear relationship within all the identified factors and households’ attitude levels. Considering the situation in Ethiopia where individual perceptions are deeply rooted, coupled with the results of this study that revealed highly negative attitude among disaster affected households, it is recommended to consolidate efforts and influence attitude through maximizing community participation and enhancing the effectiveness of disaster management.

Present bias and its influence on financial behaviours amongst Indians

PurposePresent bias (PB) is a cognitive bias that stimulates the individual decision-maker to favour the present reward even over the higher reward in the future to avoid the uncertainty attached to the reward in an uncertain future. The article attempts to examine the prevalence of PB amongst Indians and the effect of such bias on savings and borrowings.Design/methodology/approachSecondary data on 47,132 respondents from the Financial Inclusion Insights, 2017 database was used in the study. The theory of self-control, which is captured by the widely accepted hyperbolic discounting model, was used to explore the presence of PB. Suitable statistical techniques and the binary probit regression model were employed to attain the objectives of the study.FindingsThe prevalence of PB was found amongst 8.2% of the sample respondents. The outcome of the study endorses the view of previous researchers that present-biased people tend to save less and borrow more.Originality/valueAlthough the exploration of the role of various cognitive biases on financial behaviour is gaining momentum in recent times, there is a dearth of studies exploring the prevalence of PB and its implication towards financial behaviour, especially in the context of the emerging economy of India. The study makes an original contribution in this regard by using a very rich dataset of 47,132 individuals in the Indian context for the first time.