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February 20, 2026Journal of the Royal Society of New Zealand0 citationsOpen Access

The Prevalence and Factors Associated with Workforce Attrition and Intention‐to‐Leave Among Healthcare Workers in New Zealand: A Systematic Literature Review and Meta‐Analysis

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MCMia ClarkeBSB. StephenMFMike Frecklington

Key Points

  • This research aims to estimate the prevalence of workforce attrition and intention-to-leave among healthcare workers in New Zealand and identify associated factors.
  • Conducted a systematic review and meta-analysis of 32 studies.
  • Followed systematic review guidelines to summarize findings.
  • Analyzed attrition rates by profession, educational level, and time period.
  • Attrition rates were highest among midwives and doctors, both at 26.0%.
  • Midwives had the highest intention-to-leave rate at 54.0%.
  • Significant variation in attrition was noted across professions and time periods, especially between 2000 and 2010.

Abstract

Despite increasing concern about the stability of New Zealand's (NZ) health workforce, no prior synthesis has estimated the prevalence of attrition or intention‐to‐leave. This systematic review and meta‐analysis included 32 studies and followed Preferred Reporting Items for Systematic Reviews and Meta‐Analysis and Meta‐Analysis of Observational Studies in Epidemiology checklist guidelines to estimate these rates and identify associated factors. Attrition was highest among midwives (26.0%, 95% CI: 17.0%−36.0%), doctors (26.0%, 95% CI: 24.0%−27.0%), and those without postgraduate qualifications (29.0%, 95% CI: 26.0%−32.0%). Intention‐to‐leave was most prevalent among midwives (54.0%, 95% CI: 42.0%−66.0%) and in studies conducted between 2000 and 2010 (33.0%, 95% CI: 20.0%−47.0%). These findings highlight substantial workforce instability, with clear variation by profession, time period, and educational level, underscoring the need for targeted retention strategies to support the sustainability of NZ's healthcare system.

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Cite This Study

Clarke et al. (2026) studied this question.

synapsesocial.com/papers/6997fa80ad1d9b11b3453bedhttps://doi.org/10.1002/snz2.70025
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