Evidence map›Paper›PMID 41736705›Full record

ArticleJournal of the Royal Society of Medicine2026

Intentions and actions towards leaving healthcare work since COVID-19: group-based trajectory analyses in the UK-REACH cohort.

Raman Mishra, Anna L Guyatt, Asta Medisauskaite, Christopher A Martin, Shingai Musuka, Srinivasa Vittal Katikireddi, Katherine Woolf, Manish Pareek, I-CARE Study Collaborative Group

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the Royal Society of Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. In putting patients first, don't forget staff wellbeing.Journal of the Royal Society of Medicine · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Raman MishraUniversity College London Medical School, London, UK.ORCID 0000-0001-8257-6019
Anna L GuyattDepartment of Population Health Sciences, University of Leicester, Leicester, UK.
Asta MedisauskaiteUniversity College London Medical School, London, UK.ORCID 0000-0002-0404-775X
Christopher A MartinDivision of Public Health and Epidemiology, School of Medical Sciences, University of Leicester, Leicester, UK.
Shingai MusukaSchool of Nursing and Midwifery, University of Central Lancashire, Preston, UK.
Srinivasa Vittal KatikireddiMRC/CSO Social and Public Health Sciences Unit, School of Health and Wellbeing, University of Glasgow, UK.
Katherine WoolfUniversity College London Medical School, London, UK.ORCID 0000-0003-4915-0715
Manish PareekLeicester NIHR Biomedical Research Centre, Leicester, UK.ORCID 0000-0003-1521-9964
I-CARE Study Collaborative GroupThe members of I-CARE Study Collaborative Group are listed in the Acknowledgements.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRetaining healthcare workers is often challenging. We studied predictors and patterns of leaving or wanting to leave healthcare work over time (attrition intentions and/or actions) in a UK cohort.

designUsing five waves of longitudinal data (2020-2024), we performed group-based trajectory analysis to identify subgroups of healthcare workers with similar patterns of attrition intentions and/or actions over time. We described the characteristics of individuals in each trajectory, and used age-, sex- and occupation-adjusted multinomial logistic regression to identify predictors of trajectory membership. SETTINGS: United Kingdom.

participantsParticipants of the United Kingdom Research study into Ethnicity and COVID-19 outcomes in Healthcare workers (UK-REACH,

main outcome measures'Attrition intentions and/or actions' was defined as a healthcare worker having intentions (or having taken action) to leave their role (including early retirement).

resultsWe identified three trajectories of attrition intentions and/or actions: consistently low (47.7%), moderate and increasing (36.8%) and consistently high (15.5%). Attrition intentions were linked to action: the majority of the 'consistently high' group had taken action to leave or change their job. Factors associated with the two latter trajectories included older age, job role (nursing, midwifery and dental), experiencing discrimination and poor mental health. Financial insecurity was strongly associated with attrition intentions and/or actions.

conclusionsOver half of UK healthcare workers surveyed intended or had taken action to leave or change their role. Interventions to enhance workforce sustainability could be targeted at older workers and those in nursing, midwifery and dental roles and focus on reducing discrimination, improving mental health and protecting the financial security healthcare worker jobs offer.

Indexed as

COVID-19Health PersonnelIntentionPersonnel TurnoverAdultCohort StudiesFemaleHumansJob SecurityLongitudinal StudiesMaleMiddle AgedSARS-CoV-2United KingdomEpidemiologic studiesEpidemiologyethnic studiesGetting and changing jobs (including job descriptions and contracts)health policyMedical careersOccupational and environmental medicine

Identifiers

PMID41736705
PMCPMC12935585

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.