《贝克尔医院评论》是医院和卫生系统中每个知情决策者的必读刊物。该出版物的每一项内容——网站、印刷杂志、电子通讯——都具有强大的内容，这些内容及时、平衡、简明，并且是专门为我们的高管读者编写的。《贝克尔医院评论》的编辑策略延伸到一个广泛的覆盖范围，包括医疗保健新闻和分析、行业领导者的评论和战略、最佳实践和业务指导，以及值得关注的医疗保健机构和人员名单。医疗保健业发展迅速。我们也是如此。
在查看《贝尔医学评论》的文章中，我发现了一篇有意思的文章，正如标题所写——What will — and won't — change about nursing in 50 years（50年后护理行业将会发生什么样的变化，以及不会发生什么样的变化。）
可以访问以下网址查看原文https://www.beckershospitalreview.com/nursing/what-will-and-wont-change-about-nursing-in-50-years.html
以下我们仅作翻译，和大家一起学习这篇文章。
The technology healthcare will use in 50 years is impossible to predict, but nursing leaders agree that the one thing that will not change is the importance of caring individuals at the bedside.
我们无法预测 50 年后医疗保健所使用的技术，但护理领域的领导者一致认为，唯一不会改变的是床边护理的重要性。
Many leaders predict nurses will mostly leave the hospital setting to do more community work and hospitals will be used only for the sickest of the sick.
许多领导者预测，护士们大多会离开医院环境，去做更多的社区工作，医院将只用于治疗最严重的病人。
Here are seven nurse leaders on other ways nursing will change over the next 50 years.
以下是七位护士领导对未来 50 年护理工作其他变化方式的看法。
01 协调护理·健康护理·跨专业护理模式
Vi-Anne Antrum, DNP, RN. Chief Nursing Officer at Cone Health (Greensboro, N.C.): In 50 years, much of nursing's work is being delivered through technology-enabled applications virtually and in the home. Hospitals are utilized very sparingly and only for the very sickest patients. Most of nursing's work focuses on coordinating preventive care in collaboration with consumers, providers, technology and community partnerships. Advanced practice nurses are the backbone of primary care and coordinate with other team members for the dwindling complex care needs. New areas of nursing have emerged steeped in research, generational AI, augmented reality, individualized medical interventions, and other technologies that have been developed.
Vi-Anne Antrum，DNP，护士。Cone Health（北卡罗来纳州格林斯博罗）首席护理官：50 年后，护理工作的大部分内容都是通过技术应用在虚拟和家庭中完成的。医院的使用率非常低，而且只针对病情最严重的病人。护理工作的大部分重点是与消费者、医疗服务提供者、技术和社区合作伙伴合作，协调预防性护理。高级执业护士是初级护理的中坚力量，她们与其他团队成员协调，满足日益减少的复杂护理需求。在研究、新一代人工智能、增强现实技术、个性化医疗干预和其他技术的推动下，护理新领域不断涌现。
We are predominantly focused on well care versus sick care, with more touch points to our panel of consumers. There has been a fundamental shift in consumers being drivers of their health. Nurses are now the most trusted profession 70-plus years running for their ethics, morals and honesty. Nursing schools have transformed curricula into specialty tracks for our areas of need. The interprofessional care delivery models certainly helped everyone contribute to strong outcomes back during our nursing shortage.
我们主要关注的是健康护理而非疾病护理，与我们的消费者小组有更多的接触点。消费者已从根本上转变为其健康的推动者。70 多年来，护士因其伦理、道德和诚实而成为最受信赖的职业。护理学校已将课程转变为满足我们需求的专业方向。跨专业的护理服务模式无疑有助于每个人在我们的护理短缺时期为取得良好的成果做出贡献。
02 技术整合·床边护理
Dianne Aroh, RN. Senior Vice President and Chief Nursing Officer at Virginia Mason Franciscan Health (Seattle): From care delivery to staffing models, changes in the field of nursing have significant impacts on our healthcare systems. As we work to provide high-quality care to our communities, we must also look for ways to improve and optimize the way we support our care teams and nurses. As technology continues to advance, I believe we will see further technology integrations in the field of nursing. It will be vital that the focus of these programs remains foremost on how they will support our bedside teams and improve patient care.
黛安-阿罗（Dianne Aroh），护士。弗吉尼亚梅森弗朗西斯坎健康中心（西雅图）高级副总裁兼首席护理官：从护理服务到人员配置模式，护理领域的变化对我们的医疗保健系统产生了重大影响。在我们努力为社区提供优质护理服务的同时，我们还必须想方设法改进和优化我们为护理团队和护士提供支持的方式。随着技术的不断进步，我相信我们将在护理领域看到更多的技术整合。至关重要的是，这些项目的重点仍然是如何支持我们的床边团队和改善病人护理。
03 预防疾病·护理重病患者·爱心和同情心
Kelly Hefti, MSN, RN. Vice President of Nursing at Sanford Health (Sioux Falls, S.D.): Looking back 30 years ago when I started my nursing career, we used to adjust an IV with a roller clamp and we manually counted drips. Now, a sophisticated library lives inside a pump that allows medication delivery with not only precision but important safety features. With that said, I'm not sure we can fully comprehend how technology will advance nursing in the future, from how we use technology to educate and train new nurses to how it will continue to improve care delivery for patients. With current advancements in technology, we are able to prevent disease, identify disease earlier or offer not previously available treatments, so people with certain health conditions are living longer. These advancements have influenced care needs with nurses taking care of more complex, very sick patients. I think this will continue to evolve, our nurses will be caring for patients who have a disease or ailment that could have a new, innovative treatment option, which is exciting to think about. Amid all of these amazing technological advancements, one thing that won't change is the fact that we'll still need incredible, caring, compassionate individuals who are called to the profession of nursing.
凯莉-海夫蒂（Kelly Hefti），医学硕士、护士。桑福德健康公司（Soux Falls, S.D.）护理副总裁：回首 30 年前，当我开始我的护理职业生涯时，我们使用滚轮夹调整静脉注射，并手动计算点滴。现在，泵内有一个精密的图书馆，不仅可以精确地输送药物，还具有重要的安全功能。说到这里，我不确定我们是否能完全理解技术在未来将如何推动护理工作的发展，从我们如何利用技术来教育和培训新护士，到技术将如何继续改善为患者提供的护理服务。随着当前技术的进步，我们能够预防疾病、更早地发现疾病或提供以前无法提供的治疗方法，因此患有某些健康问题的人能够活得更长。这些进步影响了护理需求，护士需要护理更复杂的重病患者。我认为这将继续发展下去，我们的护士将照顾那些患有可能有新的创新治疗方案的疾病或病痛的病人，想想就令人兴奋。在所有这些令人惊叹的技术进步中，有一件事是不会改变的，那就是我们仍然需要令人难以置信的、充满爱心和同情心的人，他们是护理行业的召唤者。
04 人情味与智慧·灵活思考
Susan Hernandez, DNP, RN. Associate Vice President and Health System Chief Nurse Executive at UT Southwestern Medical Center (Dallas): Nurses have the opportunity right now to not only embrace technology into our practice in ways never seen before, but also to create some of those innovative approaches to care. Human touch and intelligence will still be needed, but in different ways. Additionally, the balance in life and work will look different. Nurses have an expectation of more flexibility in the future. Twelve-hour shifts shouldn't be mandatory but should still remain an option for those who like that lifestyle. If done well, the nurse of the future will be able to select their schedule and even work location to meet the needs of their current stage of life. Retaining clinical care nurses in the acute care setting could hinge on our ability as a profession to be more flexible in our thinking.
苏珊-埃尔南德斯（Susan Hernandez），DNP，护士。UT西南医学中心（达拉斯）副总裁兼医疗系统护士长：护士们现在不仅有机会以前所未有的方式将技术融入我们的实践中，还可以创造一些创新的护理方法。我们仍然需要人情味和智慧，只是方式不同而已。此外，生活与工作之间的平衡也会有所不同。护士们期望未来能有更多的灵活性。十二小时轮班不应该是强制性的，但对于那些喜欢这种生活方式的人来说，仍然应该是一种选择。如果做得好，未来的护士将能够选择自己的时间安排，甚至工作地点，以满足他们当前阶段的生活需求。在急症护理环境中能否留住临床护理护士，取决于我们作为一个行业能否更加灵活地思考问题。
05 家庭支持·虚拟护理
Melissa Kline, DNP, RN. Chief Nursing Officer at MetroHealth (Cleveland): I think we will see more nurses embedded in settings that we don't typically see them in. There's a bit of a movement in schools recognizing how important nursing and healthcare is to the well-being of their students. So many school systems have decreased the number of staff nurses they have, but I'm starting to see that number go up a little bit.
Melissa Kline，DNP，护士。克利夫兰 MetroHealth 首席护理官：我认为，我们将看到更多的护士进入我们通常看不到的环境。学校里有一种运动，认识到护理和医疗保健对学生的健康有多么重要。因此，许多学校系统都减少了他们的护士人数，但我开始看到这个数字在一点点上升。
Going back a little bit to our roots with public health nursing, I think we'll see more nurses out in the community doing preventative work to prevent people from having to go to the hospital and working on those social determinants of health. I think on the hospital side, it is only going to continue to get more technical with technology and advances, and will continue to be the only the sickest of the sick in the hospital. So I think nurses will spend more time in people's homes, providing support to families, providing some virtual care. It's hard to even imagine what kind of devices we'll have in 50 years.
回到公共卫生护理的根源，我认为我们会看到更多的护士在社区开展预防性工作，以避免人们去医院，并致力于解决健康的社会决定因素。我认为，在医院方面，随着技术的发展和进步，技术含量只会越来越高，医院也将继续只收治最严重的病人。因此，我认为护士会花更多的时间在人们的家中，为家庭提供支持，提供一些虚拟护理。很难想象 50 年后我们会拥有什么样的设备。
06 床旁自动化·关爱·护理科学与艺术
Julia Mason, DNP, RN. Senior Vice President Patient Care Services and Chief Nursing Officer Hospital Division at MetroHealth (Cleveland): Bedside registered nurses will be even more important than ever as the care team evolves. This will include the need for additional virtual nurse team members as well as support roles such as LPNs and PCNAs led by the RN. We will also see the increased implementation of technology, including predictive analytics to enhance understanding of the deterioration of conditions for patients, and bedside automation to assist with turning, ambulation, toileting, monitoring and expansion of the hospitals at home model with the support of high-definition cameras, remote IV pumps, and remote oxygen and cardiac monitoring.
朱莉娅-梅森（Julia Mason），DNP，护士。克利夫兰 MetroHealth 医院部患者护理服务高级副总裁兼首席护理官：随着护理团队的发展，床旁注册护士将比以往任何时候都更加重要。这将包括需要更多的虚拟护士团队成员，以及由注册护士领导的 LPN 和 PCNA 等支持角色。我们还将看到更多技术的应用，包括预测分析，以加强对病人病情恶化的了解；床旁自动化，以协助翻身、起居、如厕、监控；以及在高清摄像头、远程静脉输液泵、远程氧气和心脏监控的支持下，扩大家庭医院模式。
These changes will require that we continue to expand education and training for care providers, including increasing the number of advanced practice nurses leading care teams both at home and inpatient setting as well as more master's- and doctoral-prepared nurses at the bedside. Care may change, but caring will not. Nurses will continue to lead innovation and research that improves lives using science and the art of nursing.
这些变化要求我们继续扩大对护理人员的教育和培训，包括增加在家庭和住院环境中领导护理团队的高级执业护士人数，以及在床边增加硕士和博士护士人数。护理可能会改变，但关爱不会改变。护士将继续引领创新和研究，利用护理科学和艺术改善人们的生活。
07 批判思维·数据分析·即时循证
Syl Trepanier, DNP, RN. Chief Nursing Officer at Providence (Renton, Wash.): In 50 years, it's safe to assume the practice of nursing will be drastically different. Artificial intelligence and other technologies will lead to the advent of new roles that will allow our nurses to practice at the top of their licenses. In doing so, health systems will learn how to better leverage the entire healthcare team instead of relying on an all-RN model like we do today. Nurses will be recognized for their critical thinking and abilities to ensure holistic care, although most nursing tasks as we know them today will be a thing of the past. Our immediate access to data analytics will generate evidence-based practices much faster, and nurses will be able to provide care globally through virtual modalities. The future is bright and exciting.
Syl Trepanier，DNP，护士。普罗维登斯（华盛顿州伦顿）首席护理官：可以肯定的是，50 年后，护理实践将发生翻天覆地的变化。人工智能和其他技术将导致新角色的出现，使我们的护士能够在其执照的最高级别上执业。这样一来，医疗系统将学会如何更好地利用整个医疗团队，而不是像今天这样依赖全护士模式。护士的批判性思维和确保整体护理的能力将得到认可，尽管我们今天所知的大多数护理任务都将成为过去。我们对数据分析的即时访问将更快地产生循证实践，护士将能够通过虚拟模式在全球范围内提供护理服务。未来是光明的，令人兴奋的。
