Royal College of Surgeons in Ireland
Gone for good? An online survey of emigrant health professionals.pdf (522.82 kB)

Gone for good? An online survey of emigrant health professionals using Facebook as a recruitment tool

Download (522.82 kB)
Version 2 2022-02-02, 11:54
Version 1 2019-11-22, 15:51
journal contribution
posted on 2022-02-02, 11:54 authored by Sara McAleese, Barbara ClyneBarbara Clyne, Anne Matthews, Ruairi BrughaRuairi Brugha, Niamh HumphriesNiamh Humphries


Health professionals, particularly doctors, nurses and midwives, are in high demand worldwide. Therefore, it is important to assess the future plans and likelihood of return of emigrating health professionals. Nevertheless, health professionals are, by definition, a difficult population to track/survey. This exploratory study reports on the migration intentions of a sample of doctors, nurses and midwives who had emigrated from Ireland, a high-income country which has experienced particularly high outward and inward migration of health professionals since the year 2000.


Health professionals who had emigrated from Ireland were identified via snowball sampling through Facebook and invited to complete a short online survey composed of closed and open response questions.


A total of 388 health professionals (307 doctors, 73 nurses and 8 midwives) who had previously worked in Ireland completed the survey. While over half had originally intended to spend less than 5 years in their destination country at the time of emigration, these intentions changed over time, with the desire to remain abroad on a permanent basis increasing from 10 to 34 % of doctor respondents. Only a quarter of doctors and a half of nurses and midwives intended to return to practice in Ireland in the future.


The longer health professionals remain abroad, the less likely they are to return to their home countries. Countries should focus on the implementation of retention strategies if the ‘carousel’ of brain drain is to be interrupted. This would allow source countries to benefit from their investments in training health professionals, rather than relying on international recruitment to meet health system staffing needs. Improved data collection systems are also needed to track the migratory patterns and changing intentions of health professionals. Meanwhile, social networking platforms offer alternative methods of filling this information gap.


The authors would like to thank all of the gatekeepers and respondents who shared the link to this survey with their health professional social networks, the Irish Nursing and Midwifery Organisation for facilitating the advertisement of this study on their website (, and the RCSI for funding this study through a Seed Funding Award 2013.



This article is also available at

Published Citation

McAleese S, Clyne B, Matthews A, Brugha R, Humphries N. Gone for good? An online survey of emigrant health professionals using Facebook as a recruitment tool. Human Resources for Health. 2016;14(Suppl 1):34.

Publication Date



  • General Practice
  • Public Health and Epidemiology

Usage metrics

    Royal College of Surgeons in Ireland


    Ref. manager