Texas faces worsening nurse shortage as 138,000 exit profession

TEXAS, UNITED STATES — Texas is grappling with a severe nursing shortage that threatens healthcare access across the state, particularly in rural areas.
According to Texas Tech University Health Sciences Center (TTUHSC) Dean Holly Wei, approximately 138,000 nurses have left the workforce nationally since 2022, exacerbating existing strains on the healthcare system.
Nurse shortage in Texas reaches crisis point
Many factors lead to the shortage, such as increased demand for healthcare services and decreasing numbers of enrolled nursing students.
Wei stressed that long hours, hypocrisy, and high-pressure situations have been a push for many highly qualified nurses to exit bedside care or the profession altogether.
Rural communities, where hospitals serve as both healthcare providers and large-scale employers, bear the brunt of the crisis.
Wei explained that when rural hospitals close departments or reduce services, it doesn’t just limit the care provided; it also eliminates jobs and destabilizes the local economy. Texas leads the nation in rural hospital vulnerabilities, putting entire regions at risk.
TTUHSC implements solutions to strengthen pipeline
In a bid to ensure that there are equal opportunities for all, TTUHSC has also enhanced recruiting across the state, specifically including those under-served rural counties.
The university has also created flexible online nursing programs in order to make education more convenient for working professionals and rural students.
Additionally, TTUHSC is enhancing clinical partnerships to create more training opportunities. Wei highlighted innovative nurse tech models that provide hands-on experience while easing staffing burdens.
“We’ve also strengthened the academic and practice partnership to expand the clinical training opportunities and to implement the innovative nurse tech models,” Wei said.
Workforce challenges reflect broader healthcare strains
The nursing exodus is reflective of the same troubles that the healthcare workforce experiences, including burnout from various professions.
Wei said closeness in retention was as important as recruitment, urging better support structures and working conditions so that nurses stay in the profession.
The shortage can exacerbate healthcare disparities, especially in rural Texas, without intervention. Wei insisted that closures and job cuts impact community stability, calling on policymakers and educators to work together to develop long-term solutions.