Abstract
Perfect storms abound in nursing and healthcare. How we plan for them and how we forecast effectively which ones will have tremendous impact on how we lead the profession is a challenge to anyone who is or will be a leader. This article focuses on key forecasts that contribute to creating perfect storms of the future. The "perfect storm" is a term found in multiple disciplines. The phrase denotes the condition that exists when events occur simultaneously with the result that this confluence has a greater impact than what could have resulted from a chance combination. Although perfect storms are rare, they have enormous impact when they occur, and if an alteration in any of the events occurs, the overall impact is lessened.