{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T16:11:40Z","timestamp":1779120700857,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"BREATHE-The Health Data Research Hub for Respiratory Health","award":["MC_PC_19004"],"award-info":[{"award-number":["MC_PC_19004"]}]},{"name":"National Institute for Health Research (NIHR) Applied Research Collaboration East Midlands"},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MC_UU_00022\/2"],"award-info":[{"award-number":["MC_UU_00022\/2"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NIHR Development Skills Enhancement Award","award":["NIHR302856"],"award-info":[{"award-number":["NIHR302856"]}]},{"name":"NIHR Health and Social Care Delivery Program","award":["NIHR157268"],"award-info":[{"award-number":["NIHR157268"]}]},{"DOI":"10.13039\/501100020013","name":"NIHR Leicester Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100020013","id-type":"DOI","asserted-by":"publisher"}]},{"name":"MRC-UK Research and Innovation","award":["MR\/V027549\/1"],"award-info":[{"award-number":["MR\/V027549\/1"]}]},{"name":"Scottish Government Chief Scientist Office","award":["SPHSU17"],"award-info":[{"award-number":["SPHSU17"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J R Soc Med"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Retaining 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Using five waves of longitudinal data (2020\u20132024), 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings:<\/jats:title>\n                    <jats:p>United Kingdom.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>\n                      Participants of the United Kingdom Research study into Ethnicity and COVID-19 outcomes in Healthcare workers (UK-REACH,\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u20095499).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures:<\/jats:title>\n                    <jats:p>\u2018Attrition intentions and\/or actions\u2019 was defined as a healthcare worker having intentions (or having taken action) to leave their role (including early retirement).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We 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 \u2018consistently high\u2019 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Over 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01410768261419581","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T09:36:56Z","timestamp":1772012216000},"page":"73-82","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Intentions and actions towards leaving healthcare work since COVID-19: group-based trajectory analyses in the UK-REACH cohort"],"prefix":"10.1177","volume":"119","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8257-6019","authenticated-orcid":false,"given":"Raman","family":"Mishra","sequence":"first","affiliation":[{"name":"University College London Medical School, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna L","family":"Guyatt","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, University of Leicester, Leicester, UK"},{"name":"Leicester NIHR Biomedical Research Centre, Leicester, UK"},{"name":"Division of Public Health and Epidemiology, School of Medical Sciences, University of Leicester, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0404-775X","authenticated-orcid":false,"given":"Asta","family":"Medisauskaite","sequence":"additional","affiliation":[{"name":"University College London Medical School, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher A","family":"Martin","sequence":"additional","affiliation":[{"name":"Division of Public Health and Epidemiology, School of Medical Sciences, University of Leicester, Leicester, UK"},{"name":"Department of Infection and HIV Medicine, University Hospitals of Leicester NHS Trust, Leicester, UK"},{"name":"Development Centre for Population Health, University of Leicester, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shingai","family":"Musuka","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, University of Central Lancashire, Preston, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srinivasa Vittal","family":"Katikireddi","sequence":"additional","affiliation":[{"name":"MRC\/CSO Social and Public Health Sciences Unit, School of Health and Wellbeing, University of Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4915-0715","authenticated-orcid":false,"given":"Katherine","family":"Woolf","sequence":"additional","affiliation":[{"name":"University College London Medical School, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1521-9964","authenticated-orcid":false,"given":"Manish","family":"Pareek","sequence":"additional","affiliation":[{"name":"Leicester NIHR Biomedical Research Centre, Leicester, UK"},{"name":"Division of Public Health and Epidemiology, School of Medical Sciences, University of Leicester, Leicester, UK"},{"name":"Department of Infection and HIV Medicine, University Hospitals of Leicester NHS Trust, Leicester, UK"},{"name":"Development Centre for Population Health, University of Leicester, Leicester, UK"},{"name":"NIHR Applied Research Collaboration East Midlands, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"On behalf of the I-CARE Study Collaborative Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.p947"},{"key":"e_1_3_3_3_2","volume-title":"NHS workforce in a nutshell","author":"Mallorie S.","year":"2024","unstructured":"Mallorie S. 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