New report highlights global forces reshaping New Zealand’s nursing workforce

The Nursing Council is pleased to release its latest publication: International nurse migration: implications for the New Zealand nursing workforce. This report, informed by a cross-sector roundtable with Professor James Buchan, a globally recognised expert in nurse mobility and health workforce policy, explores the shifting dynamics of nurse migration and its impact on Aotearoa New Zealand’s health system.

Key findings

  • Nearly half of New Zealand’s nursing workforce is now internationally qualified, marking a dramatic shift in workforce composition with implications for planning, retention, and equity.
  • New Zealand ranks second in the OECD for reliance on internationally qualified nurses – at least three times the OECD average – raising questions about sustainability and self-sufficiency.
  • Despite growth in Māori and Pacific nurse numbers, representation remains static, with Māori nurses making up 7% and Pacific nurses 4% of the workforce, highlighting ongoing equity challenges.
  • New Zealand has become a ‘stepping stone’ for nurses heading to Australia, enabled by the Trans-Tasman Mutual Recognition Act 1997. Many internationally qualified nurses register in New Zealand before moving on.
  • The report calls for a system-wide approach, including ethical recruitment, improved data collection, and better workforce planning to future-proof New Zealand’s nursing workforce.

Understanding these international dynamics is vital for building a sustainable nursing workforce and resilient health system.