- Pre-registration nursing students
- No definition of master’s degree in nursing described in the publication
After the search, we collated and uploaded all the identified records into EndNote v.X8 (Clarivate Analytics, Philadelphia, Pennsylvania) and removed any duplicates. Two independent reviewers (MCS and SA) screened the titles and abstracts for assessment in line with the inclusion criteria. They retrieved and assessed the full texts of the selected studies while applying the inclusion criteria. Any disagreements about the eligibility of studies were resolved by discussion or, if no consensus could be reached, by involving experienced researchers (MZ-S and RP).
The first reviewer (MCS) extracted data from the selected publications. For this purpose, an extraction tool developed by the authors was used. This tool comprised the following criteria: author(s), year of publication, country, research question, design, case definition, data sources, and methodologic and data-analysis triangulation. First, we extracted and summarized information about the case study design. Second, we narratively summarized the way in which the data and methodological triangulation were described. Finally, we summarized the information on within-case or cross-case analysis. This process was performed using Microsoft Excel. One reviewer (MCS) extracted data, whereas another reviewer (SA) cross-checked the data extraction, making suggestions for additions or edits. Any disagreements between the reviewers were resolved through discussion.
A total of 149 records were identified in 2 databases. We removed 20 duplicates and screened 129 reports by title and abstract. A total of 46 reports were assessed for eligibility. Through hand searches, we identified 117 additional records. Of these, we excluded 98 reports after title and abstract screening. A total of 17 reports were assessed for eligibility. From the 2 databases and the hand search, 63 reports were assessed for eligibility. Ultimately, we included 8 articles for data extraction. No further articles were included after the reference list screening of the included studies. A PRISMA flow diagram of the study selection and inclusion process is presented in Figure 1 . As shown in Tables 2 and and3, 3 , the articles included in this scoping review were published between 2010 and 2022 in Canada (n = 3), the United States (n = 2), Australia (n = 2), and Scotland (n = 1).
PRISMA flow diagram.
Characteristics of Articles Included.
Author | Contandriopoulos et al | Flinter | Hogan et al | Hungerford et al | O’Rourke | Roots and MacDonald | Schadewaldt et al | Strachan et al |
---|---|---|---|---|---|---|---|---|
Country | Canada | The United States | The United States | Australia | Canada | Canada | Australia | Scotland |
How or why research question | No information on the research question | Several how or why research questions | What and how research question | No information on the research question | Several how or why research questions | No information on the research question | What research question | What and why research questions |
Design and referenced author of methodological guidance | Six qualitative case studies Robert K. Yin | Multiple-case studies design Robert K. Yin | Multiple-case studies design Robert E. Stake | Case study design Robert K. Yin | Qualitative single-case study Robert K. Yin Robert E. Stake Sharan Merriam | Single-case study design Robert K. Yin Sharan Merriam | Multiple-case studies design Robert K. Yin Robert E. Stake | Multiple-case studies design |
Case definition | Team of health professionals (Small group) | Nurse practitioners (Individuals) | Primary care practices (Organization) | Community-based NP model of practice (Organization) | NP-led practice (Organization) | Primary care practices (Organization) | No information on case definition | Health board (Organization) |
Overview of Within-Method, Between/Across-Method, and Data-Analysis Triangulation.
Author | Contandriopoulos et al | Flinter | Hogan et al | Hungerford et al | O’Rourke | Roots and MacDonald | Schadewaldt et al | Strachan et al |
---|---|---|---|---|---|---|---|---|
Within-method triangulation (using within-method triangulation use at least 2 data-collection procedures from the same design approach) | ||||||||
: | ||||||||
Interviews | X | x | x | x | x | |||
Observations | x | x | ||||||
Public documents | x | x | x | |||||
Electronic health records | x | |||||||
Between/across-method (using both qualitative and quantitative data-collection procedures in the same study) | ||||||||
: | ||||||||
: | ||||||||
Interviews | x | x | x | |||||
Observations | x | x | ||||||
Public documents | x | x | ||||||
Electronic health records | x | |||||||
: | ||||||||
Self-assessment | x | |||||||
Service records | x | |||||||
Questionnaires | x | |||||||
Data-analysis triangulation (combination of 2 or more methods of analyzing data) | ||||||||
: | ||||||||
: | ||||||||
Deductive | x | x | x | |||||
Inductive | x | x | ||||||
Thematic | x | x | ||||||
Content | ||||||||
: | ||||||||
Descriptive analysis | x | x | x | |||||
: | ||||||||
: | ||||||||
Deductive | x | x | x | x | ||||
Inductive | x | x | ||||||
Thematic | x | |||||||
Content | x |
The following sections describe the research question, case definition, and case study design. Case studies are most appropriate when asking “how” or “why” questions. 1 According to Yin, 1 how and why questions are explanatory and lead to the use of case studies, histories, and experiments as the preferred research methods. In 1 study from Canada, eg, the following research question was presented: “How and why did stakeholders participate in the system change process that led to the introduction of the first nurse practitioner-led Clinic in Ontario?” (p7) 19 Once the research question has been formulated, the case should be defined and, subsequently, the case study design chosen. 1 In typical case studies with mixed methods, the 2 types of data are gathered concurrently in a convergent design and the results merged to examine a case and/or compare multiple cases. 10
“How” or “why” questions were found in 4 studies. 16 , 17 , 19 , 22 Two studies additionally asked “what” questions. Three studies described an exploratory approach, and 1 study presented an explanatory approach. Of these 4 studies, 3 studies chose a qualitative approach 17 , 19 , 22 and 1 opted for mixed methods with a convergent design. 16
In the remaining studies, either the research questions were not clearly stated or no “how” or “why” questions were formulated. For example, “what” questions were found in 1 study. 21 No information was provided on exploratory, descriptive, and explanatory approaches. Schadewaldt et al 21 chose mixed methods with a convergent design.
A total of 5 studies defined the case as an organizational unit. 17 , 18 - 20 , 22 Of the 8 articles, 4 reported multiple-case studies. 16 , 17 , 22 , 23 Another 2 publications involved single-case studies. 19 , 20 Moreover, 2 publications did not state the case study design explicitly.
This section describes within-method triangulation, which involves employing at least 2 data-collection procedures within the same design approach. 6 , 7 This can also be called data source triangulation. 8 Next, we present the single data-collection procedures in detail. In 5 studies, information on within-method triangulation was found. 15 , 17 - 19 , 22 Studies describing a quantitative approach and the triangulation of 2 or more quantitative data-collection procedures could not be included in this scoping review.
Five studies used qualitative data-collection procedures. Two studies combined face-to-face interviews and documents. 15 , 19 One study mixed in-depth interviews with observations, 18 and 1 study combined face-to-face interviews and documentation. 22 One study contained face-to-face interviews, observations, and documentation. 17 The combination of different qualitative data-collection procedures was used to present the case context in an authentic and complex way, to elicit the perspectives of the participants, and to obtain a holistic description and explanation of the cases under study.
All 5 studies used qualitative interviews as the primary data-collection procedure. 15 , 17 - 19 , 22 Face-to-face, in-depth, and semi-structured interviews were conducted. The topics covered in the interviews included processes in the introduction of new care services and experiences of barriers and facilitators to collaborative work in general practices. Two studies did not specify the type of interviews conducted and did not report sample questions. 15 , 18
In 2 studies, qualitative observations were carried out. 17 , 18 During the observations, the physical design of the clinical patients’ rooms and office spaces was examined. 17 Hungerford et al 18 did not explain what information was collected during the observations. In both studies, the type of observation was not specified. Observations were generally recorded as field notes.
In 3 studies, various qualitative public documents were studied. 15 , 19 , 22 These documents included role description, education curriculum, governance frameworks, websites, and newspapers with information about the implementation of the role and general practice. Only 1 study failed to specify the type of document and the collected data. 15
In 1 study, qualitative documentation was investigated. 17 This included a review of dashboards (eg, provider productivity reports or provider quality dashboards in the electronic health record) and quality performance reports (eg, practice-wide or co-management team-wide performance reports).
This section describes the between/across methods, which involve employing both qualitative and quantitative data-collection procedures in the same study. 6 , 7 This procedure can also be denoted “methodologic triangulation.” 8 Subsequently, we present the individual data-collection procedures. In 3 studies, information on between/across triangulation was found. 16 , 20 , 21
Three studies used qualitative and quantitative data-collection procedures. One study combined face-to-face interviews, documentation, and self-assessments. 16 One study employed semi-structured interviews, direct observation, documents, and service records, 20 and another study combined face-to-face interviews, non-participant observation, documents, and questionnaires. 23
All 3 studies used qualitative interviews as the primary data-collection procedure. 16 , 20 , 23 Face-to-face and semi-structured interviews were conducted. In the interviews, data were collected on the introduction of new care services and experiences of barriers to and facilitators of collaborative work in general practices.
In 2 studies, direct and non-participant qualitative observations were conducted. 20 , 23 During the observations, the interaction between health professionals or the organization and the clinical context was observed. Observations were generally recorded as field notes.
In 2 studies, various qualitative public documents were examined. 20 , 23 These documents included role description, newspapers, websites, and practice documents (eg, flyers). In the documents, information on the role implementation and role description of NPs was collected.
In 1 study, qualitative individual journals were studied. 16 These included reflective journals from NPs, who performed the role in primary health care.
Only 1 study involved quantitative service records. 20 These service records were obtained from the primary care practices and the respective health authorities. They were collected before and after the implementation of an NP role to identify changes in patients’ access to health care, the volume of patients served, and patients’ use of acute care services.
In 2 studies, quantitative questionnaires were used to gather information about the teams’ satisfaction with collaboration. 16 , 21 In 1 study, 3 validated scales were used. The scales measured experience, satisfaction, and belief in the benefits of collaboration. 21 Psychometric performance indicators of these scales were provided. However, the time points of data collection were not specified; similarly, whether the questionnaires were completed online or by hand was not mentioned. A competency self-assessment tool was used in another study. 16 The assessment comprised 70 items and included topics such as health promotion, protection, disease prevention and treatment, the NP-patient relationship, the teaching-coaching function, the professional role, managing and negotiating health care delivery systems, monitoring and ensuring the quality of health care practice, and cultural competence. Psychometric performance indicators were provided. The assessment was completed online with 2 measurement time points (pre self-assessment and post self-assessment).
This section describes data-analysis triangulation, which involves the combination of 2 or more methods of analyzing data. 6 Subsequently, we present within-case analysis and cross-case analysis.
Three studies combined qualitative and quantitative methods of analysis. 16 , 20 , 21 Two studies involved deductive and inductive qualitative analysis, and qualitative data were analyzed thematically. 20 , 21 One used deductive qualitative analysis. 16 The method of analysis was not specified in the studies. Quantitative data were analyzed using descriptive statistics in 3 studies. 16 , 20 , 23 The descriptive statistics comprised the calculation of the mean, median, and frequencies.
Two studies combined deductive and inductive qualitative analysis, 19 , 22 and 2 studies only used deductive qualitative analysis. 15 , 18 Qualitative data were analyzed thematically in 1 study, 22 and data were treated with content analysis in the other. 19 The method of analysis was not specified in the 2 studies.
In 7 studies, a within-case analysis was performed. 15 - 20 , 22 Six studies used qualitative data for the within-case analysis, and 1 study employed qualitative and quantitative data. Data were analyzed separately, consecutively, or in parallel. The themes generated from qualitative data were compared and then summarized. The individual cases were presented mostly as a narrative description. Quantitative data were integrated into the qualitative description with tables and graphs. Qualitative and quantitative data were also presented as a narrative description.
Of the multiple-case studies, 5 carried out cross-case analyses. 15 - 17 , 20 , 22 Three studies described the cross-case analysis using qualitative data. Two studies reported a combination of qualitative and quantitative data for the cross-case analysis. In each multiple-case study, the individual cases were contrasted to identify the differences and similarities between the cases. One study did not specify whether a within-case or a cross-case analysis was conducted. 23
This section describes confirmation or contradiction through qualitative and quantitative data. 1 , 4 Qualitative and quantitative data were reported separately, with little connection between them. As a result, the conclusions on neither the comparisons nor the contradictions could be clearly determined.
In 3 studies, the consistency of the results of different types of qualitative data was highlighted. 16 , 19 , 21 In particular, documentation and interviews or interviews and observations were contrasted:
Both types of data showed that NPs and general practitioners wanted to have more time in common to discuss patient cases and engage in personal exchanges. 21 In addition, the qualitative and quantitative data confirmed the individual progression of NPs from less competent to more competent. 16 One study pointed out that qualitative and quantitative data obtained similar results for the cases. 20 For example, integrating NPs improved patient access by increasing appointment availability.
Although questionnaire results indicated that NPs and general practitioners experienced high levels of collaboration and satisfaction with the collaborative relationship, the qualitative results drew a more ambivalent picture of NPs’ and general practitioners’ experiences with collaboration. 21
The studies included in this scoping review evidenced various research questions. The recommended formats (ie, how or why questions) were not applied consistently. Therefore, no case study design should be applied because the research question is the major guide for determining the research design. 2 Furthermore, case definitions and designs were applied variably. The lack of standardization is reflected in differences in the reporting of these case studies. Generally, case study research is viewed as allowing much more freedom and flexibility. 5 , 24 However, this flexibility and the lack of uniform specifications lead to confusion.
Methodologic triangulation, as described in the literature, can be somewhat confusing as it can refer to either data-collection methods or research designs. 6 , 8 For example, methodologic triangulation can allude to qualitative and quantitative methods, indicating a paradigmatic connection. Methodologic triangulation can also point to qualitative and quantitative data-collection methods, analysis, and interpretation without specific philosophical stances. 6 , 8 Regarding “data-collection methods with no philosophical stances,” we would recommend using the wording “data source triangulation” instead. Thus, the demarcation between the method and the data-collection procedures will be clearer.
Yin 1 advocated the use of multiple sources of evidence so that a case or cases can be investigated more comprehensively and accurately. Most studies included multiple data-collection procedures. Five studies employed a variety of qualitative data-collection procedures, and 3 studies used qualitative and quantitative data-collection procedures (mixed methods). In contrast, no study contained 2 or more quantitative data-collection procedures. In particular, quantitative data-collection procedures—such as validated, reliable questionnaires, scales, or assessments—were not used exhaustively. The prerequisites for using multiple data-collection procedures are availability, the knowledge and skill of the researcher, and sufficient financial funds. 1 To meet these prerequisites, research teams consisting of members with different levels of training and experience are necessary. Multidisciplinary research teams need to be aware of the strengths and weaknesses of different data sources and collection procedures. 1
When using multiple data sources and analysis methods, it is necessary to present the results in a coherent manner. Although the importance of multiple data sources and analysis has been emphasized, 1 , 5 the description of triangulation has tended to be brief. Thus, traceability of the research process is not always ensured. The sparse description of the data-analysis triangulation procedure may be due to the limited number of words in publications or the complexity involved in merging the different data sources.
Only a few concrete recommendations regarding the operationalization of the data-analysis triangulation with the qualitative data process were found. 25 A total of 3 approaches have been proposed 25 : (1) the intuitive approach, in which researchers intuitively connect information from different data sources; (2) the procedural approach, in which each comparative or contrasting step in triangulation is documented to ensure transparency and replicability; and (3) the intersubjective approach, which necessitates a group of researchers agreeing on the steps in the triangulation process. For each case study, one of these 3 approaches needs to be selected, carefully carried out, and documented. Thus, in-depth examination of the data can take place. Farmer et al 25 concluded that most researchers take the intuitive approach; therefore, triangulation is not clearly articulated. This trend is also evident in our scoping review.
Few studies in this scoping review used a combination of qualitative and quantitative analysis. However, creating a comprehensive stand-alone picture of a case from both qualitative and quantitative methods is challenging. Findings derived from different data types may not automatically coalesce into a coherent whole. 4 O’Cathain et al 26 described 3 techniques for combining the results of qualitative and quantitative methods: (1) developing a triangulation protocol; (2) following a thread by selecting a theme from 1 component and following it across the other components; and (3) developing a mixed-methods matrix.
The most detailed description of the conducting of triangulation is the triangulation protocol. The triangulation protocol takes place at the interpretation stage of the research process. 26 This protocol was developed for multiple qualitative data but can also be applied to a combination of qualitative and quantitative data. 25 , 26 It is possible to determine agreement, partial agreement, “silence,” or dissonance between the results of qualitative and quantitative data. The protocol is intended to bring together the various themes from the qualitative and quantitative results and identify overarching meta-themes. 25 , 26
The “following a thread” technique is used in the analysis stage of the research process. To begin, each data source is analyzed to identify the most important themes that need further investigation. Subsequently, the research team selects 1 theme from 1 data source and follows it up in the other data source, thereby creating a thread. The individual steps of this technique are not specified. 26 , 27
A mixed-methods matrix is used at the end of the analysis. 26 All the data collected on a defined case are examined together in 1 large matrix, paying attention to cases rather than variables or themes. In a mixed-methods matrix (eg, a table), the rows represent the cases for which both qualitative and quantitative data exist. The columns show the findings for each case. This technique allows the research team to look for congruency, surprises, and paradoxes among the findings as well as patterns across multiple cases. In our review, we identified only one of these 3 approaches in the study by Roots and MacDonald. 20 These authors mentioned that a causal network analysis was performed using a matrix. However, no further details were given, and reference was made to a later publication. We could not find this publication.
Because it focused on the implementation of NPs in primary health care, the setting of this scoping review was narrow. However, triangulation is essential for research in this area. This type of research was found to provide a good basis for understanding methodologic and data-analysis triangulation. Despite the lack of traceability in the description of the data and methodological triangulation, we believe that case studies are an appropriate design for exploring new nursing roles in existing health care systems. This is evidenced by the fact that case study research is widely used in many social science disciplines as well as in professional practice. 1 To strengthen this research method and increase the traceability in the research process, we recommend using the reporting guideline and reporting checklist by Rodgers et al. 9 This reporting checklist needs to be complemented with methodologic and data-analysis triangulation. A procedural approach needs to be followed in which each comparative step of the triangulation is documented. 25 A triangulation protocol or a mixed-methods matrix can be used for this purpose. 26 If there is a word limit in a publication, the triangulation protocol or mixed-methods matrix needs to be identified. A schematic representation of methodologic and data-analysis triangulation in case studies can be found in Figure 2 .
Schematic representation of methodologic and data-analysis triangulation in case studies (own work).
This study suffered from several limitations that must be acknowledged. Given the nature of scoping reviews, we did not analyze the evidence reported in the studies. However, 2 reviewers independently reviewed all the full-text reports with respect to the inclusion criteria. The focus on the primary care setting with NPs (master’s degree) was very narrow, and only a few studies qualified. Thus, possible important methodological aspects that would have contributed to answering the questions were omitted. Studies describing the triangulation of 2 or more quantitative data-collection procedures could not be included in this scoping review due to the inclusion and exclusion criteria.
Given the various processes described for methodologic and data-analysis triangulation, we can conclude that triangulation in case studies is poorly standardized. Consequently, the traceability of the research process is not always given. Triangulation is complicated by the confusion of terminology. To advance case study research in nursing, we encourage authors to reflect critically on methodologic and data-analysis triangulation and use existing tools, such as the triangulation protocol or mixed-methods matrix and the reporting guideline checklist by Rodgers et al, 9 to ensure more transparent reporting.
Acknowledgments.
The authors thank Simona Aeschlimann for her support during the screening process.
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding: The author(s) received no financial support for the research, authorship, and/or publication of this article.
Supplemental Material: Supplemental material for this article is available online.
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Transboundary assessments of water security typically adopt an ‘upstream’ perspective, focusing on hazards and vulnerabilities occurring within a given hydrological basin. However, as the moisture that provides precipitation in the hydrological basin probably originates ‘upwind’, hazards and vulnerabilities potentially altering the moisture supply can be overlooked. Here we perform a global assessment of risk to water security in 379 hydrological basins accounting for upwind vulnerabilities and hazards from limited governance and environmental performance. We compare this upwind assessment with the more conventional approach focusing upstream. We find that accounting for upwind moisture supply increases the assessed risk to water security. The upwind perspective results in 32,900 km 3 yr −1 of water requirements (that is, the specific water needs of vegetation for their development) under very high risk, compared with 20,500 km 3 yr −1 under the upstream perspective. This study pinpoints the need to account for upwind moisture dependencies in global water-related risk assessments.
Globally, around 40% of continental precipitation originates in evaporation from land 1 . This amount increases to 80–90% in some regions in Eurasia, South America and Africa 2 . Hence, precipitation over large parts of the Earth’s land surface can be vulnerable to upwind changes in the amount and timing of evaporation entering the atmosphere 3 , 4 , 5 . Land and water use related to human activities for food and energy production are known to alter such evaporation 6 , 7 , 8 , 9 , 10 . For instance, irrigation has been found to increase precipitation downwind, while deforestation decreases it 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 . Upwind loss in evaporation can result in loss in downwind precipitation with impacts on agricultural 12 , 19 , 20 , 21 , 22 and hydropower 23 , water availability in surface and groundwater resources 19 , aquatic and terrestrial ecosystems 24 , 25 , 26 and the livelihoods of many urban and rural communities 27 .
These implications have led to calls to include atmospheric water flows in transboundary water management and decision-making 28 , 29 . Other calls insist on their inclusion in international law 30 and broader water governance frameworks 28 , 31 , 32 , 33 . For instance, political instability can weaken the control of illegal practices fuelling environmental degradation, such as illicit agricultural expansion and mining 34 . The lack of land and water governance and a weak environmental performance can lead to deforestation 35 and the disappearance of ecosystems that are key for atmospheric moisture supply. As another example, a lack of voice and accountability implies a disregard for citizens in the control or curve of environmental degradation that may lead to modifications of vapour flows 36 .
Risk to water security—that is, the human capacity to ensure reliable access to safe and sufficient water resources—is typically calculated as the product of the hazard (natural or human-induced events causing harm), vulnerability (physical susceptibility to adverse effects) and exposure (elements at risk of being affected) 37 . Risk estimates usually account for upstream hazards in the hydrological basin 38 , 39 , 40 . The risks relate to downstream implications of decreasing water supply in rivers 41 , mountain glaciers 42 , lakes 43 , wetlands 44 , aquifers 45 , 46 and even soil moisture 40 . Yet, recent studies have also included the vulnerabilities and exposures arising from upwind dependencies for water security 27 , 32 . For instance, Keys et al. 27 merged upstream and upwind dependencies to estimate the integrated water supply vulnerability for 29 megacities. The growing interest in accounting for upwind dependencies for risk assessment matters as precipitation over a hydrologic basin depends on terrestrial moisture recycling (TMR), the mechanism by which upwind evaporation feeds downwind precipitation either within a hydrological basin (local moisture recycling) or across different basins. The dependency can increase or decrease the risk of natural vegetation and crops not receiving the required supply of freshwater 47 , 48 , 49 , 50 .
Here we build on previous studies that consider the upwind vulnerability of freshwater supply 27 , 32 , 33 to analyse global risks to water security. Our main aim is to quantify how accounting for upwind dependencies arising from governance and environmental performance affects the risk in 379 worldwide basins. We estimate risk from two perspectives; the first, ‘upstream’, is based on political, geographical, ecosystemic and hydroclimatic conditions in the countries sharing the hydrological basin. The second perspective, named ‘upwind’, relates to the countries sharing the hydrological basin’s precipitationshed 20 , the upwind continental regions contributing moisture. We consider the freshwater requirements of vegetation and crops within the basin as the most representative exposed asset for basin-scale water security.
We identified 379 large hydrological basins (greater than 3,400 km 2 ) covering 85 Mkm 2 whose precipitationsheds extend across more than one country. We refer to these basins as upwind transboundary basins in contrast to the typical definition of upstream transboundary (that is, the hydrological basin is shared by several countries). Around one-third of these upwind transboundary basins (153) are also upstream transboundary. From these upwind transboundary basins, the ones with the highest TMR and, thus, high upwind continental moisture dependency include the Tarim, Huang He, Amur, Yenisei and Lena River basins (Fig. 1 ). The TMR ratio can indicate how susceptible the water availability of a given hydrological basin is to changes in upwind moisture supply. For instance, a basin depending solely on moisture transport from the ocean would not be affected by any change in land use as long as atmospheric moisture convergence is not affected. Conversely, a basin depending only on continental moisture is subject to any potential change in moisture supply resulting from land use changes.
The relationship between governance ( y axis), environmental performance ( x axis), TMR ratios (colour gradient) and the area of the basin (size of the circle). Governance is calculated as the mean of the five governance indicators (voice accountability, political stability, government effectiveness, regulatory quality and the rule of law; Supplementary Fig. 2a ) reported by the World Bank 87 and area-weighted on the basis of the countries lying within the precipitationshed of each hydrological basin. Similarly, environmental performance is given by the 40 indicators of the Environmental Performance Index (Supplementary Fig. 2b ) from the Yale Center for Environmental Law and Policy 88 . The dashed red polygon highlights basins with low levels of upwind governance and environmental performance.
Most large basins typically have high TMR and low governance values (that is, less than 0.6). Interestingly, the hydrological basins with the highest TMR range between 0 and 0.6 of the maximum governance that can be obtained, pointing to low governability. The Congo River Basin is an example of a large basin with low governance and environmental performance. The water requirements of the Congo River Basin (Supplementary Fig. 1 ) have a high dependency on land cover changes occurring upwind; its TMR ratio reaches ~73%, and most of the moisture precipitating in the basin has a terrestrial origin, covering countries such as South Sudan, Central African Republic, Congo, Angola and the Democratic Republic of the Congo. Concern about the moisture dependency of the Congo River Basin arises as the low governance and environmental performance of the countries in its precipitationshed (Supplementary Fig. 2 ) may imply potential hazards to water security. Risks may arise from, for instance, threats of deforestation within the precipitationshed, which can potentially reduce upwind moisture flows, or uncontrolled irrigation, which may increase them 4 .
The first component of risk is the hazard. The potential hazard resulting after combining aspects of governance and environmental performance ( Methods and Supplementary Fig. 2 ) depends on whether these aspects are analysed for the upwind (within the precipitationshed) or upstream (within the hydrological basin) countries (Fig. 2a,b ). We can identify from both perspectives the highest hazard values in Africa, the Middle East and Asia from the combination of very low to middle values of governance and environmental performance (Fig. 2c,d and Supplementary Fig. 2 ). In African and Middle Eastern countries, the hazard is mainly related to low governance values (Supplementary Fig. 2a ), while in Asian countries, it is due to low environmental performance (Supplementary Fig. 2b ). We find that the mean global difference between assessing hazard from an upwind and upstream perspective is not statistically significant at the global scale ( P > 0.05, Wilcoxon rank-sum test; Fig. 2b ); a similar number of basins increase or decrease their hazard. Several hydrological basins in Asia (for example, the Yangtze, Ganges and Krishna River basins) and Africa (for example, the Volta, Ogooue and Zambezi River basins) tend to increase their hazards the most when applying an upwind perspective (Fig. 2a ). In contrast, some eastern Europe basins experience the most decrease (for example, the Volga, Dniepr and Neva River basins).
a , The difference between the hazard estimates of the upwind and upstream perspectives (upwind minus upstream). b , A comparison of the distribution of hazards (box plots) of the 379 upwind transboundary basins when including countries in their hydrological basins (upstream) and their precipitationsheds (upwind). In the upstream (upwind) perspective, the minimum value recorded is 0.0 (0.0) and the maximum value is 1.0 (1.0). The centre of the box plot, representing the median of the data, is 0.31 (0.31). The bounds of the box are defined by the first quartile (Q1) and the third quartile (Q3), which are 0.03 (0.06) and 0.47 (0.58), respectively. The whiskers extend to the minimum and maximum values of the distributions. The samples were compared with a one-sided unpaired Wilcoxon rank-sum test to determine the statistical significance of the difference between both perspectives ( P value 0.25; Wilcoxon rank-sum test). c , d , The five categories (very high, high, middle, low and very low) are based on min–max normalized values of the hazard after separation in quantiles for the upstream ( c ) and upwind ( d ) perspectives.
The second risk component is the exposure of the asset at risk, that is, the total water requirements for vegetation and crops within the hydrological basin. The Amazon and Congo basins also have some of the largest total water exposure to hazards due to the large freshwater requirements of vegetation within them (Supplementary Fig. 1a ). Hence, a higher water requirements implies a larger exposure to upwind/upstream moisture supply changes. These requirements comprise both green water (GW)—the precipitation on land temporarily stored in soil and consumed by vegetation (Supplementary Fig. 1b )—and blue water (BW)—freshwater in lakes, rivers and aquifers, mainly consumed in irrigated agriculture (Supplementary Fig. 1c ). The total GW and BW requirements in the upwind transboundary basins reaches 40,600 km 3 yr −1 globally.
The third risk component, vulnerability (Fig. 3 and Supplementary Figs. 3 and 4 ), is the natural susceptibility to adverse effects. Vulnerability results are higher when considering the areas and countries within the precipitationshed than those within the hydrological basin. Contrary to the hazard, the vulnerability shows statistically significant differences between the upwind and upstream perspectives at the global scale (Wilcoxon rank-sum test, P < 0.05; Fig. 3a,b ). Around 88% of the upwind transboundary basins increase their vulnerability when shifting from an upstream to an upwind perspective of risk (Fig. 3a ). The most marked differences occur in Europe (for example, the Danube, Volga, Dniepr and Po River basins), Asia (for example, the Tarim, Ganges, Indus and Narmada River basins) and Africa (for example, the Niger, Senegal, Ogooue and Volta River basins).
a , Geophysical vulnerability differences between perspectives (upwind minus upstream). b , The vulnerability distribution (box plots) for the 379 hydrological basins with transboundary precipitationsheds by perspective. In the upstream (upwind) perspective, the minimum value recorded is 0.0 (0.0) and the maximum value is 1.0 (1.0). The centre of the box plot, representing the median of the data, is 0.00 (0.14). The bounds of the box are defined by the first quartile (Q1) and the third quartile (Q3), which are 0.00 (0.04) and 0.05 (0.36), respectively. The whiskers extend to the minimum and maximum values of the distributions. The samples were compared with a one-sided unpaired Wilcoxon rank-sum test to determine statistical significance in differences ( P value 3.88 × 10 −55 ). c , d , Once normalized using a min–max normalization, these values are divided into five categories: very high, high, middle, low and very low, using the quantiles of their distribution for both upstream ( c ) and upwind ( d ) perspectives.
The mean global increase in vulnerability results from a mean global increase in interdependency ( P < 0.05, Wilcox rank-sum test; Supplementary Fig. 5d ) that is more influential to the score of vulnerability than the global mean decrease in fragility ( P < 0.05, Wilcox rank-sum test; Supplementary Fig. 5b ). Interdependency refers to the number of countries within the basin or precipitationshed, depending on the perspective, assuming that it will be easier to establish management measures and cooperation in water policy if the number of countries is low. Likewise, fragility relates to the area of the hydrological basin or precipitationshed, assuming that the capacity to meet the freshwater requirements at the scale of the hydrological basin is more fragile in smaller surface areas. Furthermore, it is worth noting that most of the basins experiencing higher vulnerabilities from an upwind perspective have relatively large TMR ratios, highlighting their dependency on continental moisture flows originating upwind. Changes in the magnitude of vulnerability between perspectives lead to a reassessment of the vulnerability categories (Fig. 3c,d ). For instance, the Amazon, Danube, Congo, Nile, Ganges and Yangtze increase their vulnerability from lower to higher levels when the upwind dependency is accounted for. Overall, the hydrological basins in Africa, the Middle East, Eastern Europe and the Indian Peninsula increase their vulnerability to very high levels.
We classified the exposure in the hydrological basins (Supplementary Fig. 1a ) based on the resulting risk category for both perspectives (Fig. 4 ). We find that, while in the upstream perspective ~70% of total water requirements are under middle to very high risk, in the upwind perspective the number increases to 90% (Fig. 4a ). As such, low upwind governance and environmental performance result in 32,900 km 3 yr −1 of total water requirements (75%; purple bar) under very high risk, while an upstream lack of these aspects results in much smaller freshwater requirements under very high risk (20,500 km 3 yr −1 ; 47%). This is related to the increase in the risk category of larger basins with high freshwater requirements at the expense of reductions in the categories of smaller basins with much lower water requirements. The considerably higher upwind risk is also evidenced across both GW (Fig. 4b ) and BW (Fig. 4c ) requirements, but most notably for the latter. These results indicate an important underestimation of transboundary water security risk emerging from upwind vulnerabilities and hazards and challenge the common practice of assessing the risk to BW requirements from changes in land and water use occurring just within the hydrological basin.
a – c , The relative amount of total water ( a ), GW ( b ) and BW ( c ) requirements for each perspective and in each of the five risk categories in all hydrological basins. For example, 89% of BW requirements are at a very high risk when upwind conditions are considered.
Notably, the upwind risk is very high in the majority of world’s largest basins (Fig. 5c ) owing to the large volumes of water requirements (exposure), which largely depend on the basin area ( R = 0.89; Supplementary Table 1 ). Most of these large basins also exhibit high TMR dependency (Supplementary Fig. 4d ) and low values of governance and environmental performance (Fig. 1 and Supplementary Fig. 6 ). From an upwind perspective, the Congo, Nile and Niger River basins have the largest risk to water security worldwide (Supplementary Table 2 ). Interestingly, these basins also have the highest risk from an upstream perspective (Supplementary Table 2 ). Notably, the consistent high risk among both perspectives for the Congo results from the combination of (1) high dependency on terrestrial moisture from the African continent, (2) the low governance and environmental performance of the countries located in its precipitationshed and hydrological basin, (3) the high GW requirements of its tropical vegetation and (4) its large areal extent. The Volta, Zambezi and Indus River basins are also ranked in the first ten positions of risk in both perspectives.
a , Changes in risk categorization between perspectives; positive (negative) values indicate higher (lower) risk in the upwind perspective. b , The heat map shows the percentage agreement matrix, with the intersection between rows and columns indicating the percentage agreement of classified basins in each upwind (rows) and upstream (columns) risk category. For instance, about 11% of basins present a very high risk from an upwind perspective and a high risk from the upstream perspective. c , Changes in risk categorization to the 40 worldwide largest basins. The bar height indicates the risk category in the upwind perspective (see concentric circles), and its colour shows if it increases, decreases or has no changes and how many risk categories each basin changes from the upstream perspective (see colour bar in a ).
The differences in terms of risk from both perspectives result in a change in the ranking of hydrological basins (Figs. 5a and 6 ). More than half of the hydrological basins categorized with very high risk under the upstream perspective hold their risk category from an upwind perspective (Fig. 5b , 61%, top right), whereas only 38% of those in the very low risk hold their risk category (Fig. 5b , bottom left). Some of the basins with considerable changes in their risk ranking include the Amazon, Salado, Rufiji, Krishna, Yangtze and Huang He River basins, where risk increases from low (upstream) to very high (upwind) (Fig. 5a ). The Amazon and Yangtze River basins, some of the largest basins on Earth, are included in the first ten risk positions from the upwind perspective, and their vulnerability increases when the TMR dependency is accounted for. For the case of the Yangtze, its precipitationshed extends over several South Asian countries with reported low governance and environmental performance (for example, India, Myanmar and Vietnam; Supplementary Fig. 2 ). Furthermore, it ranks high in terms of exposure (water requirements of 1,000 km 3 yr −2 ) and vulnerability (that is, many countries sharing it and ~78% of TMR).
Unexpected transboundary water-related risks can emerge from the interaction of upwind vulnerabilities and hazards related to governance and environmental performance. The hazards can lead to progressive land and water use changes, potentially altering the moisture supply to downwind hydrological basins 29 , 31 , 32 , 51 , 52 . Biogeophysical properties related to vegetation on land, such as those expressed by surface albedo, surface roughness length, rooting depth, leaf stomatal conductance and leaf/stem area index, control evaporation over a given surface. Land use changes that alter vegetation can thus drive evaporation changes, with the change magnitude and direction depending on both the original vegetation cover and that resulting after the change in land use 53 , 54 , 55 , 56 . For instance, the conversion of forests to grasslands mostly reduces evaporation 54 , 56 , 57 , 58 , 59 , 60 , 61 . Forest clear-cutting has been found to reduce evaporation and increase runoff; reforestation or regrowth has resulted in the opposite effect 53 , 55 . These changes may translate into changes in the amount of moisture advected and precipitating in downwind hydrological basins 22 , 23 . Hence, the degree to which this occurs depends on the type and extent of the evaporation changes and moisture convergence.
While studies 4 , 5 , 7 , 20 , 26 , 50 , 62 , 63 already point to the corresponding heterogeneous effects of land and water use changes on moisture supply downwind, this study rather focuses on the factors of governance and environmental performance that can impede, slow, drive or foster these changes and the corresponding risks to downwind water security. As tensions related to transboundary water governance can emerge when hydrological basins are shared by different countries or regulating authorities 64 , 65 , 66 , 67 , 68 , 69 , 70 , tension among countries from sharing a specific precipitationshed could emerge as well. These tensions could increase when various countries are involved, requiring additional agreement and cooperation 68 , 69 , 70 . For instance, several basins in South America (for example, the Magdalena, Orinoco and Parana River basins) depend on moisture recycling from the Amazon Basin 7 ; their precipitationsheds extend over this basin. The Amazon Basin is shared by several countries that have tried to establish agreements to reduce deforestation but with difficult progress due to each country’s internal policies 34 , 71 . Several studies have shown the potential impacts of Amazon deforestation on precipitation and water availability in South America 7 , 11 , 18 , 23 , 50 . Accounting for upwind dependencies could then increase the interest in moisture upwind dependencies in the region, potentially leading to tensions between countries (understood not only as disputes between countries but also as any problem threatening regional water security) and cooperation to avoid or solve these tensions 72 . Similar issues could occur in other regions with a comparable context (for example, the Congo hydrological basin 73 , 74 , 75 ).
Transboundary cooperation can play a crucial role in mitigating these tensions 64 , 68 , 69 , 70 . Cooperative management and agreements on shared water resources can significantly reduce tension and promote sustainable usage 28 , 66 , 68 , 69 , 70 . Collaborative efforts in managing surface water availability, atmospheric moisture recycling and land use changes in upwind areas are relevant for maintaining water security and preventing disputes, particularly in water-scarce regions 28 , 47 , 75 , 76 . This study can help detect where and to whom cooperation strategies and efforts can be addressed to mitigate the causes of water-related tensions. Nevertheless, further research is necessary to explore the mechanisms through which cooperation can be enhanced to address these challenges effectively, particularly in the face of increased demand for water resources due to climate change and the growing globalized economy 66 .
Upwind risks are commonly overlooked in the assessment of transboundary water security. Moreover, not considering these risks may disregard the transboundary nature of numerous worldwide basins. The identified differences in this study, comparing a traditional upstream framework with an innovative upwind approach, reveal an underestimation of the risk to global water requirements. This emphasizes reassessing upwind transboundary basins according to their water risk levels. Such emerging results have and could lead to surprises in similar assessments for urban and energy-related water security 27 , 77 , 78 . We recommend that transboundary water security assessments add the upwind moisture dependency to the more common factors that threaten or affect water availability (for example, anthropogenic inter-basin water transfer and groundwater regional fluxes).
The co-dependence between upstream/downwind and downstream/upwind countries cannot be disregarded. For instance, again, in the case of tropical South America, large areas of the Andes are downwind of the Amazon forest, whereas most of the Amazon Basin is downstream of the Andes. Understanding this co-dependence could improve the hydro-cooperation between nations owing to the transnational mutual interests concerning water security and, hopefully, a more united approach to guarantee global long-term water security. This understanding depends on the confidence in tracking moisture simulations. Further research should be addressed to reduce uncertainty in these simulations through validation and intercomparison projects. Our findings, rather than a clear demonstration that the upwind moisture flux is threatened, is an alert showing worldwide basins where upwind risk could emerge with important implications to water security.
We invite a reflection on the common paradigm of managing and governing water beyond the hydrological basin and the required shift in assessing water-related risk and governance. The shift comprises a change from the view that uses only the concepts of hydrological basin or watershed—which have long been regarded as the best units and scales to govern and understand risks related to water changes 51 , 79 —to a more comprehensive view that includes atmospheric water 32 . The potential management of water beyond hydrological basin boundaries poses challenges regarding geopolitics, governance and the understanding of moisture transport. Addressing these challenges should lead to (1) the creation of new organizations or frameworks that in the future may be capable of managing water upwind or at least (2) an institutional fit of current river basin organizations to tackle the new dependencies emerging from a better understanding of moisture transport and implications for water security 80 . Assessing upwind water-related risks should improve the transboundary water agenda and help establish atmospheric governance on the water as a common good 30 , 31 .
We adopted the concept of risk proposed in the Intergovernmental Panel on Climate Change Sixth Assessment Report 81 . Risk is defined as the potential consequences over a valuable subject resulting from the interaction of hazard, vulnerability and exposure. Hazard is the occurrence of natural accidents or human-induced events causing harm that may adversely affect vulnerable elements, causing loss of life, injury, damage and loss to property, infrastructure, livelihoods, service provision, ecosystems and environmental resources 81 . Vulnerability is the susceptibility, propensity or predisposition to be adversely affected. Vulnerability calculations encompass a variety of concepts and elements, including sensitivity, susceptibility and resilience, among others. These elements vary according to the system being analysed and its features 82 . Exposure is the people, livelihoods, species or ecosystems, environmental functions, services, resources, infrastructure or economic, social or cultural assets that could be adversely affected 79 . Figure 6 summarizes the mathematical formulation of the risk assessment approaches employed in this study.
a , b , Conceptual framework for risk assessment from upstream ( a ) and upwind ( b ) perspectives. The diagram illustrates the formulation of risk assessment approaches employed in this study, including the interaction of exposure ( E ), hazard ( H ) and vulnerability ( V ) within each hydrological basin and precipitationshed. The components of exposure (GW and BW requirements), hazard (governance and environmental performance) and vulnerability (sensitivity, fragility, interdependence and TMR dependency) are integrated to evaluate the potential consequences on water security.
The traditional ‘upstream’ perspective analyses hazard and geophysical vulnerability within the boundaries of the hydrological basin and its surface water supply. The ‘upwind perspective’ focuses on hazard and geophysical vulnerability across the upwind areas contributing to the basins’ moisture supply (that is, precipitationshed). Risk assessment frameworks to categorize worldwide basins according to their transboundary water security are given by equations ( 1 ) and ( 2 ):
where R is the risk, E is the exposure (that is, water requirements for vegetation and crops), H is the hazard and V is the geophysical vulnerability. The subscripts denote the perspective used (US for upstream and UW for upwind). We now describe each risk component and any particularity related to each perspective. All risk components are categorized into five groups defined using the quantiles of the distributions across the sample of 379 hydrological basins: very high, high, middle, low and very low. We also normalized the values across the sample of the 379 transboundary basins from 0 to 1 using a min–max normalization.
We frame the exposed asset of the risk assessment as the total water requirements for vegetation and crops, which are determined from the long-term annual requirements of GW and BW volumes for vegetation and crops within each hydrological basin. The exposure is the same for both upstream ( E US ) and upwind perspectives ( E UW ), relating to water requirements within the basin (equation ( 3 )).
GW is defined as the fraction of precipitation that infiltrates into the soil and is then evaporated or transpired by vegetation and crops. BW is the freshwater in surface and groundwater resource usually provided to vegetation or crops through irrigation and then evaporated or transpired. Estimations of GW and BW are obtained from a global gridded (5 arcminute) dataset of annual green and blue long-term water requirements of all land covers, natural and anthropogenic, existing within each hydrological basin during the analysis period (2008–2017). Agricultural land covers present 23 types of crop and three crop groups from the Global Spatially-Disaggregated Crop Production Statistics Data (also known as Spatial Production Allocation Mode, or SPAM) for 2010. These estimations were performed using the WATNEEDS model 83 , assessing the vertical component of the soil water balance, computing evaporation on each watershed area unit of the hydrological basin with the Penman–Monteith method 84 as modified by Allen et al. 85 . Overland flow is calculated as a soil water saturation excess mechanism and percolation is a linear function of the maximum infiltration rate and soil moisture. For a detailed description of the WATNEEDS model, we refer the reader to Chiarelli et al. 83 . Data used to calculate water requirements are reported in Table 1 .
Although the Intergovernmental Panel on Climate Change commonly uses the term hazard for climate-related physical events, trends or their physical impacts 81 , we here focus on potential human-induced hazards related to levels of governance and environmental performance. For human-induced hazards, features related to societal issues indicate the type of activity that may threaten a given system. A thorough threat assessment requires collecting information on potential threat activities within each country. Traditionally, relevant public indices have been used for this 86 . We calculated long-term hazard ( H C ) during 2008–2017 at a country scale emerging from low levels of governance ( G ) and environmental performance (EP) as (equation ( 4 ) and Supplementary Fig. 2 )
For this, we used the five World Bank’s Governance subindices for each country ( G i ) reported during 2008–2017 87 , addressing fundamental aspects of governance: (1) voice and accountability, examining the degree of civil society involvement in governmental processes, (2) political stability, focusing on the likelihood of political instability and violence, (3) government effectiveness, evaluating the government’s capacity to implement policies and provide services efficiently, (4) regulatory quality, highlighting the transparency and effectiveness of regulatory frameworks, and (5) rule of law, measuring the fair and equitable application of laws. We used the long-term average of these subindices to estimate each country’s level of governance (equation ( 5 )), where n is the number of years.
In summary, voice and accountability measure political, civil and human rights and relate to the level of participation in selecting government and the freedom of expression, association and free media 87 . A decrease in voice and accountability can, for instance, disregard the call from citizens to control or curve environmental degradation that may lead to modifications of vapour flows travelling downwind by activities such as deforestation.
Political stability measures the likelihood of violent threats to, or changes in, government, including terrorism, and can relate to the level of bellicosity of a government to generate changes that may affect the moisture supply downstream or downwind. For instance, low political instability would hamper the control of illegal practices fuelling environmental degradation, such as illicit agricultural expansion and mining.
Government effectiveness visualizes the competence of the bureaucracy and the quality of public service delivery, and a low value would imply a limited capacity of the government to control environmental degradation per se. Regulatory quality measures the incidence of policies that are unfriendly to markets. It also refers to a country’s internationalization level and immersion in the international agenda by international commitments and regulations.
Regulatory quality would directly target the issues related to shared political institutions (such as international political and legal arrangements). It also represents the complexity of political frameworks considering different levels of organization (scales), for example, multiple countries (for example, the European Union), or inside countries (there are also problems inside countries, for example, among states sharing the Colorado River in the USA). Hence, a low regulatory quality will imply a higher water security hazard.
Rule of law shows the measuring perceptions of the extent to which agents have confidence in and abide by the rules of society, mostly concerning the quality of contract enforcement, the police and the courts and the likelihood of crime and violence. A low score of rule and law increases the hazard of water security. Finally, the control of corruption, which measures corruption and state capture, also relates to the potential of controlling and avoiding environmental degradation. A low score also implies a higher hazard of water security.
These subindices are combined to offer a holistic view of governance in each country, enabling meaningful comparisons on a global scale. Furthermore, we used the 40 subindices of the Environmental Performance Index by the Yale Center for Environmental Law and Policy 88 . This comprehensive measure of the countries’ environmental management evaluates environmental health and ecosystem vitality across different nations. The index considers indicators such as water resources management, biodiversity conservation and climate change mitigation efforts. Some of these subindices are pertinent for the upstream and upwind risks to water security, as they relate directly to land use changes that may potentially affect downwind moisture supply. These include tree cover loss, grassland loss, wetland loss and terrestrial biome protection. By analysing these factors, the index provides insights into a country’s environmental policies, their effectiveness and areas for improvement. This index is valuable for policymakers and researchers to assess progress and prioritize actions towards sustainable development and environmental protection globally. We know that several subindices of the environmental performance metric are not related to water and land cover environmental characteristics. However, we prefer to use the full metric as a holistic proxy of environmental performance relevant to water security rather than arbitrarily selecting and dropping specific subindices. Thus, we calculated the environmental performance as the long-term average of these 40 subindices (EP i ) (equation ( 6 )), where n is the number of years.
Upstream hazard was calculated for each hydrological basin as an area-weighted average for all countries within the hydrological basin ( H US ; equation ( 7 )). Upwind hazard ( H UW ) was calculated similarly but using the precipitationshed area instead of the hydrological basin area (equation ( 8 )). The n is the number of countries sharing the basin or precipitationshed.
Here A ws and A ps represent the areas for each ( i ) of the total countries ( n ) falling in the hydrological basin and precipitationshed, respectively.
Vulnerability is a physical feature used for quantifying risk 76 . This study calculated geophysical vulnerability ( V ) as a function of different physical variables, which sometimes differed between both perspectives. From an upstream perspective (equation ( 9 )), vulnerability is a function of hydrological basin features: sensitivity ( S ), fragility ( F ) and interdependency ( I ). From an upwind perspective (equation ( 10 )), we added one more variable related to TMR dependency ( D ). Fragility and interdependency were adjusted to the spatial extent of the precipitationshed to represent the physical links established by upwind moisture dependency. Again, subscripts denote the perspective used (US, upstream; UW, upwind).
Sensitivity is calculated from a min–max normalized water scarcity index estimated as precipitation ( P ) minus actual evaporation (EV) plus inter-basin surface transfers (man-made, T ). Precipitation and actual evaporation are based on data from ERA5 from 2008 to 2017, which estimate the long-term mean of surface water balance (SWB) 89 . For inter-basin surface transfers, we have gathered data on transfers from several references, most importantly from Dynesius and Nilsson 90 , who document inter-basin transfers in 139 hydrological basins worldwide. They report the amount of freshwater transferred as a percentage of the runoff before any manipulation. The data even specify if the effect of the inter-basin transfer is negative or positive. Hence, we adjust the values of P – EV originally obtained from ERA5 data with this estimate accordingly. For other basins not included in the work of Dynesius and Nilsson 90 , we have also relied on different sources mentioned in the global assessment of Nilsson et al. 91 and other sources such as Dobbs et al. 92 and Gupta and van der Zaag 93 . Note that the data on inter-basin transfers may not agree with the ERA5 data, yet we have to assume that the amount of water transferred is constant in time and that some inter-basin transfers may not be reported in these databases.
We used the same sensitivity estimate for both perspectives (equation ( 11 )). To homogenize the values across the sample of the 379 transboundary basins, all N values were normalized from 0 to 1 (equations ( 12 ) and ( 13 )) using the maximum (SWB MAX ) and minimum (SWB MIN ) values of the sample. We inverted the value so that higher values represent more sensitivity to upwind or upstream changes in water availability due to less water running on the hydrological basin’s surface, which agrees with higher risk corresponding to higher sensitivity. We assume that the water requirements are less vulnerable to governance and environmental performance changes when more water is available in the hydrological basin.
From the upstream perspective (equation ( 14 )), fragility relates to the inverse of the area of the hydrological basin ( A ws ), while from an upwind standpoint (equation ( 15 )), it relates to that of the precipitationshed ( A ps ) (Supplementary Fig. 5 ). To homogenize the values across the sample of the 379 transboundary basins, all values were normalized from 0 to 1. From the first perspective, we assume that the socioecological system and capacity to meet the freshwater requirements within the hydrological basin is more fragile to changes in governance and environmental performance in smaller hydrological basins than in large basins. For instance, in a larger basin, it is most likely that, while some freshwater requirements are affected in some parts of the hydrological basin, other parts will not experience such affectation. On the contrary, in a small hydrological basin, all freshwater requirements will most possibly be affected similarly 52 , 94 . In the upwind perspective, a similar logic is proposed: the freshwater requirements in a hydrological basin will be less affected when the basin has a large precipitationshed, as the particular hazard in an upwind country may not be as representative when other countries and land areas are involved.
From the upstream perspective (equation ( 16 )), interdependency is estimated from the number of countries within a basin (NC ws ). From the upwind perspective (equation ( 17 )), this variable depends on the countries sharing the precipitationshed (NC ps ). For both perspectives, high values represent a high interdependency with cooperation concerning water resources more difficult between several countries 95 . The assumption is that it will be easier to establish management measures and cooperation if the number of countries is lower. We must state that the level of cooperation in water governance does not strictly depend on the number of countries but also on other factors related to governance, which, for this particular assessment, we include as part of the hazard (see ‘Hazard’ section). To homogenize the values across the sample of the 379 transboundary basins, all values were normalized from 0 to 1.
The TMR dependency in the upwind perspective (Duw; equation ( 18 )) relates to the contribution of continental evaporation to precipitration in the hydrological basin (Pc). The higher the value, the higher the dependency on TMR.
Finally, we explored collinearity between all variables involved in the risk assessment. As a summary, we found that the variables involved in calculating risk show low collinearity in both perspectives (Supplementary Tables 3 and 4 ), indicating that risk results from nonlinear interactions between its components. Upstream interdependency (that is, the number of countries upstream) correlates highly with upstream risk (Supplementary Table 1 ). From the upwind perspective, we found a high correlation between interdependency and vulnerability (Supplementary Table 5 ).
We used the vectorized polygon dataset from the Major River Basins of the World project of the Global Runoff Data Centre to extract the large hydrological basins used in our risk assessments 96 . This dataset incorporates data from the HydroSHEDS database 97 and provides the boundaries of 405 river basins. A total of 26 of these basins are not transboundary from the viewpoint of neither the upwind nor the upstream perspectives.
We quantified the TMR ratio in all basins on the basis of the tracking simulation performed by Tuinenburg et al. 74 using the UTrack model 98 at 1.0° resolution (available at https://doi.pangaea.de/10.1594/PANGAEA.912710 ). This simulation spans from 2008 to 2017 and presents monthly climatological means for recycling. Correspondingly, we use this period as the reference for our risk assessments. The UTrack is a Lagrangian moisture tracking numerical algorithm used to study worldwide atmospheric moisture transport processes 99 , 100 , 101 , 102 , 103 . The model tracks parcels of moisture through the atmosphere from their evaporation sources to precipitation sinks. First, evaporated moisture from the land surface is released into atmospheric parcels. Next, atmospheric trajectories for each parcel are calculated, and finally, the moisture contribution to precipitation in each grid cell for each parcel is allocated. For a further detailed description of the UTrack, refer to Tuinenburg and Staal 98 . Calculations of TMR ratio (that is, precipitation fraction with terrestrial origin) used data of precipitation, precipitable water, evaporation, wind speed and direction obtained from the ERA5 reanalysis on a 0.25° global grid.
To obtain the TMR ratio of a hydrological basin, we took all evaporation contribution fractions from the continental sources towards each basin and multiplied them with evaporation to estimate the moisture flow. Finally, we summed these fluxes and divided them by the total precipitation over the basin. Finally, for validation and assessing uncertainty, we compared for specific hydrological basins the TMR dependency results obtained with UTrack with those obtained with simulations using the Eulerian WAM2-Layers model 104 (see Supplementary Fig. 7 and the ‘Uncertainty analysis’ section).
Keys et al. 20 define a precipitationshed as the upwind surface areas providing evaporation as a contribution to precipitation in a determined location. The precipitationshed is then calculated using polygons to delimit regions according to contribution levels. Previous studies have suggested and discussed different thresholds to delimit a precipitationshed boundary of continental recycled precipitation (for example, 70% (ref. 20 ) and 40% (ref. 50 )). We here used a higher value (80%) based on (1) an uncertainty exploration (Supplementary Fig. 7b,c ), (2) the moisture tracking state of the art (it is higher than the minimum required to delineate our precipitationsheds 50 ) and (3) the need for high representativeness of continental sources.
We used the UTrack dataset to delimit the transboundary precipitationshed for each hydrological basin. First, we took evaporation contribution fluxes from the continental sources towards each basin; next, we divided these values by each basin’s total precipitation to obtain the continental precipitation recycling ratio per pixel. Finally, we used these values to delimit the regions according to contribution levels. Following Weng et al. 50 , we used the terrestrial component of precipitationsheds in our calculations because land surface alterations in each country could directly impact the TMR. The estimation of TMR and precipitationshed extent from the UTrack dataset is justified by the lower computational costs compared with those when performing a tracking simulation. Furthermore, the UTrack simulation that generates this dataset uses the ERA5 data with a 0.25° high-resolution climatological dataset. We explored the uncertainty in our estimates of precipitationsheds’ extensions by comparing those from the ten largest worldwide basins using WAM2-Layers (Supplementary Fig. 7b,c ).
We studied uncertainty in our results related to the hazard and the physical links introduced by upwind dependencies. First, we analysed the sensitivity of the results regarding the risk arising from different governance and environmental performance values by using twice the standard deviations of all their subindices during 2008–2017, generating a range of possible results (Supplementary Fig. 8 ).
Furthermore, uncertainty from tracking moisture simulations arises because these models use a simplified representation of the real-world and climatological data. To explore these uncertainties, we compared the estimated TMR dependency and precipitationshed from the UTrack dataset with simulations using WAM2-Layers in the ten largest basins worldwide. These models present different physical approaches (Lagrangian versus Eulerian) and climatological inputs (ERA5 versus ERA-Interim, with 0.25° and 1.5° of spatial resolution, respectively). This comparison was constrained to a few hydrological basins owing to the high computational costs of using WAM2-Layers to estimate the extension of precipitationsheds. Unfortunately, the previous tracking simulation dataset using this model 104 does not allow us to estimate the extension of the precipitationshed. For further details on the uncertainty analysis, see Supplementary Information .
Data results are available via Zenodo at https://doi.org/10.5281/zenodo.11474249 (ref. 105 ) with CCA 4.0 licence.
Code used to delimit continental precipitationsheds from UTrack dataset is available via GitHub at https://github.com/josepomarin/PshedUTrack.git .
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This work was funded by the Swedish Research Council for Environment, Agricultural Sciences and Spatial Planning (FORMAS) Project 2022-02148, the Swedish Research Council (VR) Project 2021-05774. J.P.-M. was funded by the Colombian Ministry of Science, Technology and Innovation (Minciencias) through the programme ‘Excelencia doctoral del Bicentenario’ Grant 20230017-25-2020. J.S. was funded by the Colombian Ministry of Science, Technology, and Innovation (Minciencias) through the SOS-Cuenca research programme ‘SOStenibilidad de sistemas ecológicos y sociales en la CUENCA Magdalena-Cauca bajo escenarios de cambio climático y pérdida de bosques’ (grant no. 1115-852-70719). L.W.-E. was supported by funding from FORMAS (2019-01220, 2022-02089, 2023-0310 and 2023-00321), Horizon Europe (101081661), the IKEA Foundation, the Marianne and Marcus Wallenberg Foundation and the Marcus and Amalia Wallenberg Foundation. The funders had no role in the design, data collection and analysis, decision to publish or preparation of the paper.
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José Posada-Marín & Juan Salazar
Department of Physical Geography/Bolin Centre for Climate Research, Stockholm University, Stockholm, Sweden
José Posada-Marín & Fernando Jaramillo
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José Posada-Marín
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Maria Cristina Rulli
Stockholm Resilience Centre, Stockholm University, Stockholm, Sweden
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Design: J.P.-M., J.S. and F.J. Project administration and supervision: F.J. Methodology: J.P.-M., J.S. and F.J. Deployment and sampling: J.P.-M. Formal analysis: J.P.-M., J.S., M.C.R., L.W.-E. and F.J. Writing—original draft: J.P.-M., J.S. and F.J. Writing—review and editing: J.P.-M., J.S., M.C.R., L.W.-E. and F.J. Modelling: J.P.-M. and M.C.R. All authors contributed to discussion of the results and the paper.
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Supplementary information.
Supplementary Figs. 1–8 and Tables 1–5.
Environmental Performance Index, governance, TMR ratio and area for each of the 379 analysed basins.
Hazard from upstream and upwind perspectives, and their differences for each of the 379 analysed basins.
Vulnerability from upstream and upwind perspectives, and their differences for each of the 379 analysed basins.
Relative amount of total water, GW and BW requirements for each perspective and in each of the five risk categories in each of the 379 analysed basins.
Risk category from upstream and upwind perspectives, their changes and area for each of the 379 analysed basins.
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Posada-Marín, J., Salazar, J., Rulli, M.C. et al. Upwind moisture supply increases risk to water security. Nat Water (2024). https://doi.org/10.1038/s44221-024-00291-w
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Plunge milling is a very efficient roughing process. Optimizing the tool path of the plungers will enhance the plunge process. A novel approach is developed and introduced in this paper to optimize the tool path of the plungers using plungers of predefined geometry. For this purpose, maximizing the covered plunging area and minimizing the number of the plunging cycles are required. Unlike the current methods that demand specific geometry for the plungers, the proposed approach starts from predefined geometry for these plungers according to the availability in the market; eliminating the constrains imposed by the current methods. The developed approach combines two basic approaches, namely: The medial axis transformation approach and the offset techniques approach in order to generate data points within the contour of the required shape. Data points are then studied for possible selection to ensure an optimal plunging process. The developed approach is validated by simulation and compared with previous work, its superiority over the current methods is confirmed through many case studies. For instance, a flower shape with a multi-regions contour and the human hand shape with some narrow and complicated regions. The studied case studies revealed the possibility of reducing the number of plungers used and increasing the plunging area. The effectiveness of the approach for narrow shapes and its orientation-independence is obvious in comparison with the current methods; qualitatively through figures and quantitatively by reduce the number of plungers to 37 instead of 72, and the plunging ration is improved to 92.3, surpassing the previous method’s ratio of 72.26 as shown in Table 2. The last comparison includes a complex pocket with island, our findings indicate an improvement over the previous method in two key aspects: reducing the number of tools and expanding the covered area.
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Omari, M.A., Rababah, M.M. & AlFakeh, M.M. A novel approach for plunging using plungers of predefined geometry. Int J Interact Des Manuf (2024). https://doi.org/10.1007/s12008-024-02079-4
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Received : 19 September 2023
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Published : 01 September 2024
DOI : https://doi.org/10.1007/s12008-024-02079-4
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Case study can be combined with other methodologies, such as ethnography, grounded theory, or phenomenology. In such studies the research on the case uses another framework to further define the study and refine the approach. Case study is also described as a method, given particular approaches used to collect and analyze data.
A case study is one of the most commonly used methodologies of social research. This article attempts to look into the various dimensions of a case study research strategy, the different epistemological strands which determine the particular case study type and approach adopted in the field, discusses the factors which can enhance the effectiveness of a case study research, and the debate ...
Defnition: A case study is a research method that involves an in-depth examination and analysis of a particular phenomenon or case, such as an individual, organization, community, event, or situation. It is a qualitative research approach that aims to provide a detailed and comprehensive understanding of the case being studied.
A case study is a detailed study of a specific subject, such as a person, group, place, event, organization, or phenomenon. Case studies are commonly used in social, educational, clinical, and business research. A case study research design usually involves qualitative methods, but quantitative methods are sometimes also used.
Qualitative case study methodology provides tools for researchers to study complex phenomena within their contexts. When the approach is applied correctly, it becomes a valuable method for health ...
Qualitative case study methodology enables researchers to conduct an in-depth exploration of intricate phenomena within some specific context. ... (ICT) industry of New Zealand. A multiple case studies approach was adopted that spanned over 2 years, as it is difficult to investigate all the aspects of a phenomenon in a single case study (Cruzes ...
Authors sometimes use incongruent methods of data collection and analysis or use the case study as a default when other methodologies do not fit. 9,10 Despite these criticisms, case study methodology is becoming more common as a viable approach for HSR. 11 An abundance of articles and textbooks are available to guide researchers through case ...
Experienced qualitative researchers have identified case study research as a stand-alone qualitative approach. Case study research has a level of flexibility that is not readily offered by other qualitative approaches such as grounded theory or phenomenology. ... Yazan B. (2015). Three approaches to case study methods in education: Yin, Merriam ...
A case study is a research approach that is used to generate an in-depth, multi-faceted understanding of a complex issue in its real-life context. It is an established research design that is used extensively in a wide variety of disciplines, particularly in the social sciences. A case study can be defined in a variety of ways (Table 5), the ...
A case study is a detailed study of a specific subject, such as a person, group, place, event, organisation, or phenomenon. Case studies are commonly used in social, educational, clinical, and business research. A case study research design usually involves qualitative methods, but quantitative methods are sometimes also used.
A case study protocol outlines the procedures and general rules to be followed during the case study. This includes the data collection methods to be used, the sources of data, and the procedures for analysis. Having a detailed case study protocol ensures consistency and reliability in the study.
In such studies the research on the case uses another framework to further define the study and refine the approach. Case study is also described as a method, given particular approaches used to collect and analyze data. Case study research is conducted by almost every social science discipline: business, education, sociology, psychology.
Differences between published case studies can make it difficult for researchers to define and understand case study as a methodology. Experienced qualitative researchers have identified case study research as a stand-alone qualitative approach (Denzin & Lincoln, 2011b). Case study research has a level of flexibility that is not readily offered ...
approaches that guide case study methodology; one proposed by Robert Stake (1995) and . 545 . The Qualitative Report. December 2008. the second by Robert Yin (2003, 2006). Both seek to ensure that the topic of interest is well explored, and that the essence of the phenomenon is revealed, but the methods that
a method or scientific approach. In this ar ticle, case studies are placed within the qualitative field and view ed as a qualitative research type, although the fact
What the Case Study Method Really Teaches. Summary. It's been 100 years since Harvard Business School began using the case study method. Beyond teaching specific subject matter, the case study ...
The study further achieves this through an interpretivist paradigm, qualitative approach, a case study methodology and in-depth interviews. The study used purposive sampling to generate data which ...
Case studies are in-depth investigations of a person, group, event, or community. Typically, data is gathered from various sources using several methods (e.g., observations & interviews). The case study research method originated in clinical medicine (the case history, i.e., the patient's personal history). In psychology, case studies are ...
Case study research is a type of qualitative research design. It's often used in the social sciences because it involves observing subjects, or cases, in their natural setting, with minimal interference from the researcher. In the case study method, researchers pose a specific question about an individual or group to test their theories or ...
5 Benefits of Learning Through Case Studies. 1. Take New Perspectives. The case method prompts you to consider a scenario from another person's perspective. To work through the situation and come up with a solution, you must consider their circumstances, limitations, risk tolerance, stakeholders, resources, and potential consequences to ...
New Zealand. A multiple case studies approach was adopted that spanned over 2 years, as it is difficult to investigate all the aspects of a phenomenon in a single case study (Cruzes, Dyba˚, ... Case study method is the most widely used method in aca-demia for researchers interested in qualitative research (Bas-karada, 2014). Research students ...
A case study is a research approach that is used to generate an in-depth, multi-faceted understanding of a complex issue in its real-life context. It is an established research design that is used extensively in a wide variety of disciplines, particularly in the social sciences. A case study can be defined in a variety of ways (Table 5), the ...
Simply put, the case method is a discussion of real-life situations that business executives have faced. Harvard Business School. The Learning Experience. The Case Study Method. On average, you'll attend three to four different classes a day, for a total of about six hours of class time (schedules vary). To prepare, you'll work through problems ...
To overcome these limitations, this article reports a surgical approach known as labial gingival graft (LGG) as an alternative to palatal graft. Methods Two adolescent patients presenting with absence of attached gingiva and shallow gingival recession in the mandibular incisor region were treated with LGG harvested from the labial KT of teeth ...
This secondary analysis of a retrospective study included CT scans from patients in the Boston Lung Cancer Study collected between February 2004 and June 2017. ... Automated ILA probability prediction models were developed that used a stepwise approach involving section inference and case inference models. ... both two- and three-label methods ...
A case study relies on multiple sources of evidence, with data needing to converge in a triangulating fashion." 1(p15) This design is described as a stand-alone research approach equivalent to grounded theory and can entail single and multiple cases. 1,2 However, case study research should not be confused with single clinical case reports.
For the case of the Yangtze, ... Synthesis of the methodology used in this study. ... baseline data and new approaches to study the world's large river systems. Hydrol. Process. 27, 2171-2186 ...
The studied case studies revealed the possibility of reducing the number of plungers used and increasing the plunging area. The effectiveness of the approach for narrow shapes and its orientation-independence is obvious in comparison with the current methods; qualitatively through figures and quantitatively by reduce the number of plungers to ...