More than half of healthcare employees — 55% — say they intend to search for, interview for, or switch jobs sometime in 2026. Roughly 45% of RNs report frequent burnout, a rate that's held steady since the 2022 National Nursing Workforce Survey rather than improving. And close to 100,000 RNs have left the workforce entirely in the past two years, disproportionately clinicians under 40 — the group employers can least afford to lose to attrition rather than retirement.
Why the turnover number matters more than the burnout number
Burnout has been a fixture of every healthcare workforce conversation for years, and organizations have learned to treat it as background noise. A 55% job-search intent rate is different — it's a leading indicator of vacancies you don't have yet, on top of the ones you're already trying to fill. If half your staff are passively or actively looking, your real hiring need next year is your current open-position count plus whatever share of that 55% actually moves.
What's driving clinicians under 40 out specifically
- Early-career clinicians have the most portable skills and the least sunk cost in a specific employer, making them the most likely to act on burnout rather than absorb it.
- Scheduling rigidity is a bigger factor for this cohort than compensation alone — flexible and per diem models are increasingly competing directly with traditional staff positions for the same candidates.
- Internal mobility — the ability to pick up shifts across departments or facilities within the same health system — reduces the incentive to leave for a marginally better external offer.
What actually moves the retention needle
Build flexible and per diem and travel RN hiring options into your own workforce, not just your contingent staffing plan — an internal resource pool gives staff the flexibility they're job-hunting for without losing them to an outside agency.
- Track job-search intent as a staffing-plan input, not just an HR survey metric — treat it the way you'd treat a leading demand signal.
- Model the cost of turnover against the cost of flexibility — a scheduling change is almost always cheaper than a replacement search.
DirectShifts' Internal Resource Pool product helps health systems build exactly this kind of internal flexibility — talk to a clinician partner about turning your own workforce into your first line of retention.
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