title: Shape and direction for the future.
authors.affiliation: School of Nursing and Midwifery, University of Hertfordshire.
authors.forename: Lyn
authors.initials: L
authors.lastname: Karstadt
mesh_terms: D004506:Education, Nursing / Q000458:organization & administration / Q000592:standards / Q000639:trends*; D006801:Humans; D009936:Organizational Innovation; D006113:United Kingdom