预测2023年护理和医疗保健趋势

Nurses Predict Nursing and Healthcare Trends for 2023

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Identifying healthcare trends for 2023 can help nurses prepare for innovation and change. Discover which trends may have a significant impact on nursing care.

Dramatic changes have swept through the healthcare industry since 2020. The pandemic highlighted significant gaps in healthcare and demonstrated that decision-making should not rely solely on public health experts.

2023 nursing healthcare trends will be led by the fallout of a momentous nursing shortage and growing technological changes.

2023 should also bring a renewed focus on nurses' mental health, wearable medical devices, and a rise in virtual medicine.

Dramatic changes have swept through the healthcare system since 2020 when the World Health Organization announced the world was facing a pandemic. The pandemic highlighted many of the gaps in healthcare that affected certain populations. It also revealed the shortcomings of a decision-making chain that relied solely on public health experts.

The current nursing shortage, which began in 2012, has been made worse by the pandemic and the looming number of nurses reaching retirement age. In the face of these challenges, it's important to prepare for upcoming changes to healthcare. Find out what nursing trends to expect in the year ahead.

10 Nursing Trends We Expect to See in 2023 and Beyond

As the baby boomer generation ages, the complexity of healthcare rises. All baby boomers will reach retirement age by 2030, including a large contingent of nurses.

Nursing and healthcare leaders expect to see the following 2023 nursing healthcare trends that will affect management and care delivery.

1. Job Growth Will Continue to Rise

Job growth is a function of supply and demand. According to the U.S. Bureau of Labor Statistics, the job growth rate for registered nurses through 2031 is 6%. This is as fast as the overall average for all occupations. However, the estimated growth rate for nurse practitioners (NPs) is 40%, much faster than average.

The supply of new nurses is impacted by a shortage of nursing faculty. According to the American Association of Colleges of Nursing, 91,938 qualified applicants were turned away from baccalaureate nursing programs in the 2021-2022 school year.

Schools cite an insufficient number of preceptors and clinical sites as the reason for denying admission. However, it's the faculty shortage that most schools said was the top reason for not admitting qualified candidates.

The supply of nursing staff is also affected by the number of nurses who say they will quit by the end of 2022. According to one survey, 34% of nurses said they would quit their jobs by the end of the year, citing nurse burnout and a high-stress environment as reasons.

2. The Nursing Shortage Will Be a Top Priority

Rising demand for nursing staff to care for patients with more complex healthcare needs and a falling supply of nurses has contributed to the largest nursing shortage the U.S. has ever experienced. The shortage is expected to intensify through 2023.

Nursing programs and states are coming up with nursing shortage solutions. For example, nursing programs are addressing the nursing shortage by offering rolling admissions to accommodate more students. Other colleges are opening new programs.

Nursing programs are working to facilitate creative clinical opportunities and engage in public and private partnerships. These strategies offer students greater scheduling flexibility and more clinical opportunities. Several states are reviewing general nurse staffing requirements and increasing funding to healthcare institutions.

Some states are also investing in nursing education to increase the number of new nurses. Finally, others are evaluating increasing pay and establishing safer nurse-to-patient ratios.

3. Increased Funding Will Impact Staff

The nursing shortage will be a top priority for hospitals, government agencies, and nursing programs in 2023. In October 2022, the U.S. Department of Labor announced $80 million in grants to increase the number of nursing faculty and support more nurses entering nursing programs.

Grants will be awarded to organizations that propose strategies to support underrepresented populations as they attend nursing programs. Successful grant applicants will propose programs that attract new nurses while building community partnerships.

4. Reliance on Travel Nursing and Per Diem Staff Will Continue

Healthcare institutions have relied on travel and per diem nurses to fill the gaps in staffing and ensure safe patient care. When the demand exploded during the pandemic, so did the hourly rates that hospitals were charged, which increased 213% from 2019-2022.

As travel nurse salaries rose, so did the number of nurses who quit their full-time employment to make more money traveling. This has put the current healthcare system in financial jeopardy and put patients' lives at risk.

However, while strategies are in place to increase the number of new nurses, it will realistically take between 2-4 years for those nurses to reach the bedside. In the meantime, hospitals may continue to need travel nurses to fill the gaps, which may have a significant impact on each institution's financial stability.

5. Renewed Focus on Nursing Mental Health

The growing nursing shortage has highlighted the critical need to pay greater attention to nurses' mental health. Stress, fatigue, and burnout have taken a toll on nursing staff and are a primary driver in the mass exodus of nurses in 2022.

Although there are countless resources available for healthcare workers, healthcare institutions must do a better job of ensuring workers know these resources exist. They must also encourage staff to prioritize preventing nursing burnout.

Digital access to resources makes the process simple and easy. For example, virtual therapy is available to nurses, as are mobile apps for nurses that help users improve their sleep quality or guide them through meditation, exercise, journaling, or expressing gratitude. Each of these factors can help protect mental health and lower burnout rates.

6. Increase in Patient Wearable Medical Devices

One of the 2023 nursing healthcare trends is the rising reliance on wearable medical devices, which are not limited to watches and Fitbits. Patients can also opt for implantable devices that monitor critical trends and send the data to the patient's mobile device. The information is then wirelessly sent to their physician or monitoring company.

The global value of the wearable medical device market is expected to grow 19.1% through 2031, reaching an estimated $183.8 billion. However, the growth in the U.S. is even greater. In 2021 the market was worth $21.3 billion and is estimated to grow 28.1% from 2022-2030.

7. Integration of Primary Care and Behavioral Health

Medicare has begun prioritizing behavioral health and recorded telehealth visits have skyrocketed. This is likely to continue since telehealth services integrate well with behavioral health. They offer patients a unique and personalized approach.

The U.S. Health and Human Services Office reports the number of telebehavioral health visits rose by 3.090% from 2019-2020. Destigmatizing mental health and a greater understanding of how mental and physical health are intertwined should lead to a more holistic approach to primary care.

This is a burgeoning opportunity for nurse practitioner-led practices in states that support full-practice authority.

8. Continued Rise in Virtual Care

While most are familiar with telehealth virtual visits, there are expected shifts in the delivery of "virtual" care in 2023 that may include in-person visits. Several regulations increased the flexibility of Medicare reimbursement for telehealth visits, causing experts to estimate the evolution of telehealth may increase rapidly in 2023.

Revenue dictates innovation. Should this flexibility demonstrate better patient outcomes and lower Medicare costs, they could become a permanent part of Medicare reimbursement. Logistically, this move would integrate virtual visits with a higher level of in-home healthcare from skilled nurses and nurse practitioners.

The advancement and evolution of telehealth has the potential to improve healthcare and solve several industry challenges.

9. Increasing Number of NP-Led Practices

In states where nurse practitioners have full-practice authority, they may open their own practice. Currently, there are 26 states with full-practice authority, which means the NP can assess, diagnose, prescribe medication, and treat patients without physician oversight.

There are also several states that increase NP authority to full practice after they have met certain criteria, like the number of hours in practice. The growing number of NP-led practices has had a significant impact on patient satisfaction and patient outcomes.

Kevin Lee Smith, DNP, FNP, FAANP, is the chief nurse practitioner officer at The Good Clinic. He notes there is also a growing shortage of physicians, especially primary care physicians. One way to remedy the challenge of access to healthcare is to utilize nurse practitioners.

"What is unique about NPs is their patient education focus, experience, and holistic care approach. We want to leverage the nursing perspective that takes the whole person into account — the bio-psycho-social-spiritual being," he says. "NPs are more inclined to take time with patients because that's part of our education."

10. Data and Privacy

Many are excited by the collection of patient data, citing improved access to patient information and a potential lower risk that patients will receive unnecessary prescriptions and imaging studies.

However, there is also the question of privacy that has not yet been adequately addressed. It isn't unusual for large stores or credit card companies to announce that cardholder information was accessed by an outside source.

If your healthcare information can be hacked and released, it may be used to blackmail individuals or to make employment decisions based on the likelihood that a new employee would consistently use the company health plan and thus drive up costs.

Although the convenience of centralized healthcare data is enticing, in 2022, questions about privacy may first have to be addressed and answered before the majority are willing to release sensitive information.

全文翻译（仅供参考）

2020年以来，医疗行业发生了翻天覆地的变化。这场大流行凸显了医疗保健方面的巨大差距，并表明决策不应仅仅依赖公共卫生专家。

2023年护理保健趋势将由重大的护理短缺和不断增长的技术变革的后果所主导。

2023年还应该带来对护士心理健康、可穿戴医疗设备和虚拟医学兴起的重新关注。

自2020年世界卫生组织宣布全球面临大流行以来，医疗体系发生了巨大变化。这场大流行凸显了影响某些人群的医疗保健方面的许多差距。它还揭示了完全依赖公共卫生专家的决策链的缺点。

目前的护士短缺始于2012年，由于大流行和即将到来的达到退休年龄的护士人数，情况变得更糟。面对这些挑战，为即将到来的医疗改革做好准备非常重要。找出什么护理趋势，预计在未来一年。

2023年及以后我们期待看到的10大护理趋势

随着婴儿潮一代的年龄增长，医疗保健的复杂性也在增加。到2030年，所有婴儿潮一代都将达到退休年龄，其中包括一支庞大的护士队伍。

护理和医疗保健领导者预计将看到以下2023年护理医疗保健趋势，这将影响管理和护理提供。

1.就业增长将继续上升

就业增长是供求关系的函数。根据美国劳工统计局的数据，到2031年，注册护士的就业增长率为6%。这与所有职业的总体平均速度一样快。然而，执业护士（NP）的估计增长率为40%，比平均水平快得多。

新护士的供应受到护理人员短缺的影响。根据美国护理学院协会的数据，2021-2022学年有91,938名合格的申请者被拒绝参加学士学位护理课程。

学校以导师和临床站点数量不足为拒绝入学的理由。然而，大多数学校说，师资短缺是不录取合格候选人的首要原因。

护理人员的供给也受到了表示将在2022年底离职的护士数量的影响。根据一项调查，34%的护士表示，他们将在年底前辞职，理由是护士职业倦怠和高压力环境。

2.护理短缺将是当务之急

对护理人员的需求不断增加，以照顾有更复杂的医疗保健需求的病人和护士供应下降，造成了美国有史以来最大的护理短缺。The shortage is expected to intensify through 2023.

护理项目和国家正在提出护理短缺的解决方案。例如，护理课程正在通过提供滚动招生来解决护理短缺问题，以容纳更多的学生。其他大学也开设了新的课程。

护理计划正在努力促进创造性的临床机会，并参与公共和私人伙伴关系。这些策略为学生提供了更大的时间安排灵活性和更多的临床机会。几个州正在审查普通护士的人员配备要求，并增加对医疗机构的资助。

一些州也在投资于护理教育，以增加新护士的数量。最后，其他人正在评估增加工资和建立更安全的护士与病人的比例。

3.增加资金将影响员工

护理短缺将是2023年医院、政府机构和护理项目的首要任务。2022年10月，美国劳工部宣布赠款8000万美元，用于增加护理师资队伍，支持更多护士进入护理专业。

赠款将颁发给提出战略的组织，以支持代表性不足的人口，因为他们参加护理计划。成功的补助金申请者将提出吸引新护士的计划，同时建立社区伙伴关系。

4.将继续依赖旅行护理和每日津贴工作人员

医疗机构一直依赖于旅行和每日津贴护士以填补人员配备方面的空白并确保安全的病人护理。当需求在大流行期间激增时，医院收取的每小时费率也随之增加，增长了213%从2019年到2022年。

随着旅行护士工资的上涨，辞去全职工作以赚取更多旅行收入的护士人数也在增加。这使目前的医疗保健系统处于财政危险之中，并使病人的生命处于危险之中。

然而，虽然已经制定了增加新护士人数的战略，但实际上这些护士需要2-4年才能到达床边。与此同时，医院可能会继续需要旅行护士来填补空缺，这可能会对每个机构的财务稳定产生重大影响。

5.关注护理心理健康

护理人员短缺的日益严重突出了对护士心理健康给予更多关注的迫切需要。压力、疲劳和职业倦怠对护理人员造成了伤害，是2022年护士大规模外流的主要驱动力。

尽管有无数的资源可供医疗保健工作者使用，但医疗保健机构必须更好地确保工作者知道这些资源的存在。他们还必须鼓励工作人员优先预防护理倦怠。

对资源的数字化访问使这一过程简单易行。例如，护士可以使用虚拟疗法，护士的移动的应用程序也可以帮助用户改善睡眠质量，或指导他们进行冥想、锻炼、写日记或表达感激之情。这些因素中的每一个都有助于保护心理健康和降低倦怠率。

6.患者可穿戴医疗设备的增加

2023年护理医疗趋势之一是对可穿戴医疗设备的依赖度不断上升，而可穿戴医疗设备并不局限于手表和Fitbit。患者也可以选择植入式设备，监测关键趋势并将数据发送到患者的移动的设备。然后将信息无线发送给他们的医生或监测公司。

到2031年，全球可穿戴医疗设备市场的价值预计将增长19.1%，达到1838亿美元。然而，美国的增长更大。2021年，该市场价值213亿美元，预计将比2022-2030年增长28.1%。

7.初级保健与行为健康的整合

联邦医疗保险已经开始优先考虑行为健康，有记录的远程医疗访问量激增。由于远程保健服务与行为健康很好地结合在一起，这种情况可能会继续下去。他们为患者提供了独特的个性化治疗方法。

据美国卫生与公众服务办公室报告，2019-2020年，远程行为健康就诊人数增长了3.090%。消除心理健康的耻辱，更好地理解心理健康和身体健康是如何交织在一起的，应该会导致对初级保健采取更全面的做法。

这是一个新兴的机会，护士执业主导的做法，在国家支持全面实践的权力。

8.虚拟医疗的持续增长

虽然大多数人都熟悉远程医疗虚拟就诊，但预计2023年“虚拟”护理的提供将发生变化，其中可能包括亲自就诊。多项法规增加了医疗保险报销远程医疗就诊的灵活性，导致专家估计远程医疗的演变可能在2023年迅速增加。

收入决定创新。如果这种灵活性证明了更好的病人结果和更低的医疗保险成本，他们可以成为医疗保险报销的永久部分。从逻辑上讲，这一举措将把虚拟就诊与熟练护士和护士从业者提供的更高水平的家庭医疗保健结合起来。

远程医疗的进步和发展有可能改善医疗保健并解决若干行业挑战。

9.以NP为主导的实践数量不断增加

在护士执业者拥有完全执业权的州，他们可以开设自己的诊所。目前，有26个州拥有全面的实践权力，这意味着NP可以在没有医生监督的情况下评估、诊断、开药和治疗患者。

也有几个州在达到某些标准后，如实践小时数，将国家警察的权力增加到全面实践。越来越多的NP主导的实践对患者满意度和患者结局产生了显著影响。

凯文李史密斯，DNP，FNP，FAANP，是首席护士执业官在良好的诊所。他指出，医生，特别是初级保健医生的短缺也越来越严重。解决获得医疗保健的挑战的一种方法是利用执业护士。

“NP的独特之处在于他们的患者教育重点、经验和整体护理方法。我们希望利用护理的角度，考虑到整个人-生物心理社会精神存在，”他说。“NP更倾向于花时间与病人在一起，因为这是我们教育的一部分。“

10.数据和隐私

许多人对患者数据的收集感到兴奋，理由是改善了对患者信息的访问，并降低了患者接受不必要的处方和成像研究的潜在风险。

然而，还有一个隐私问题尚未得到充分解决。对于大型商店或信用卡公司来说，宣布持卡人信息被外部来源访问并不罕见。

如果您的医疗保健信息可以被黑客攻击并泄露，则可能会被用来勒索个人，或根据新员工持续使用公司医疗计划的可能性来做出雇佣决定，从而推高成本。

尽管集中式医疗数据的便利性诱人，但在2022年，可能首先要解决和回答有关隐私的问题，然后才能让大多数人愿意发布敏感信息。

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