In addition to cultural change, the literature on regulatory trends contains many references to the impact of wider changes in societal values. Med-Emerg Inc. (2005) noted that the changing composition of the nursing workforce away from a predominantly female-dominated profession to one with higher percentages of males and increased numbers of mature entry students is having an impact on the way nurses need to be prepared. Professions Australia (2005) noted the impact these changes on work-life balance and the nature of careers were having by highlighting increased demands for more flexible working arrangements and frequent employer or career changes. Casey (2008) also documented a number of societal changes affecting the day-to-day operation of regulatory bodies, in particular, the increased demand by governments and the public for greater transparency, fairness, and proactivity. Failure to address these matters has resulted, according to Mastromatteo (2009), in an erosion of trust in the health professions and those
that regulate them.