Nursing Brain Drain, How Do We Retain Our Internationally Qualified Nurses: A Close Examination of Push and Pull Factors.

This article examines factors influencing internationally qualified nurses (IQNs) to leave New Zealand (NZ) shortly after registration, highlighting challenges in retaining this workforce amid acute nursing shortages. Surveying 323 IQNs who completed a Competency Assessment Programme (CAP) between 2012 and 2023, the study found nearly 50% had left or planned to leave NZ within an average stay of just over 30 months. Key reasons for departure included unsupportive workplace culture, limited professional development, financial concerns, personal and social factors, and better opportunities abroad—particularly in Australia. The findings underscore a current oversupply of IQNs in NZ and recommend that policymakers, employers, educators, and regulators collaboratively develop a strategic nursing workforce plan focused on sustainable recruitment, retention, and accurate future demand forecasting.