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Nursing foresight is the ability and act of forecasting what will be needed in the future in light of emergent health care trends that have consequences for population and planetary health, as well as the profession鈥檚 purpose, definition, professional scope, and standards of practice. Foresight leadership in nursing requires the development of future literacy skills. Futures literacy invites people to create and share stories about the future to inform current practice and realities. Nurses who bridge innovations across contexts must become time-conscious, future literate, and enact requisite variety leadership practices. This requires insight about self and others鈥� orientations toward time, appreciation for the value of innovation and design thinking and attention to active monitoring of industry trends, forecasts and disruptions. Foresight leadership is a function of discerning logical consequences of trends and developing vision based scenarios using futures thinking tools, techniques and methods. Nursing informatics leaders must stimulate strategic conversations about espoused visions looking backwards from the future. Foresight leadership helps people and organizations anticipate and create the future rather than react to emerging futures. Nursing informatics leaders are in a position to create a legacy and position organizations for success, through intentional use of foresight leadership knowledge, principles, practices and strategies.