The document outlines several factors affecting trends in nursing, including a rise in patients' acuity levels requiring higher nurse skills and specialization. There is also a shift to more community-based and outpatient care, necessitating more nurses. Advanced technology in hospitals and clinics demands nurses learn new equipment, while social factors like poverty and disease outbreaks increase disease burden. Changes in nursing education and an emphasis on career progression, as well as greater nurse autonomy and independence, are also influencing nursing trends.