Fort Worth

As Texas hospitals face a nursing shortage, Fort Worth students get ready to fill the gap

Faculty and staff greet the first in-person class of the new College of Nursing School at University of North Texas Health Science Center on Monday, Jan. 13, 2025, in Fort Worth. The nursing school was established in 2023 to address the nursing shortage in Texas.
Faculty and staff greet the first in-person class of the new College of Nursing School at University of North Texas Health Science Center on Monday, Jan. 13, 2025, in Fort Worth. The nursing school was established in 2023 to address the nursing shortage in Texas. amccoy@star-telegram.com

A new class of Fort Worth nursing students started classes Jan. 13, a first day of school that will also help address a statewide shortage of the critical profession.

Undergraduate nursing students started class at the University of North Texas Health Science Center. The group of 30 students are the school’s first and only on-campus class in the university’s brand new nursing school.

Nursing students attend their first class at the new College of Nursing School at University of North Texas Health Science Center on Monday, Jan. 13, 2025, in Fort Worth. The nursing school was established in 2023 to address the nursing shortage in Texas.
Nursing students attend their first class at the new College of Nursing School at University of North Texas Health Science Center on Monday, Jan. 13, 2025, in Fort Worth. The nursing school was established in 2023 to address the nursing shortage in Texas. Amanda McCoy amccoy@star-telegram.com

HSC’s new nursing school was created in part to respond to a statewide nursing shortage. During and in the wake of the COVID-19 pandemic, hospitals, nursing homes, and other health providers faced a staffing crisis, as nurses and other workers quit their jobs or retired after exhausting months or years on the front lines of the crisis. During the the height of the staffing crises, in 2022, three out of every four Texas hospitals reported inadequate staffing levels. Hospitals reported a median nurse vacancy rate of about 18%, meaning almost one in every five nursing positions was empty. Last year, the rate dropped to 8%, according to the Texas Center for Nursing Workforce Studies.

But long term, the the state health department still predicts a nursing shortage in Texas, particularly as Fort Worth’s population continues to grow rapidly and continues to age. By 2030, the department projects North Texas will be short 15,700 nurses compared to the demand demand.

In addition to the shortage, fewer nursing students are passing the national licensing exams and are able to go on to become nurses. In 2022, about 80% of U.S.-educated nursing candidates passed the exam, 8 percentage points lower than in 2019 and the lowest point in the last decade.

Faculty and staff greet new nursing students Daniel Lee-Munoz, left, Estrella Carretero, center, and her brother, Alberthy Carretero, right to their first class at the new College of Nursing School at University of North Texas Health Science Center on Monday, Jan. 13, 2025, in Fort Worth.
Faculty and staff greet new nursing students Daniel Lee-Munoz, left, Estrella Carretero, center, and her brother, Alberthy Carretero, right to their first class at the new College of Nursing School at University of North Texas Health Science Center on Monday, Jan. 13, 2025, in Fort Worth. Amanda McCoy amccoy@star-telegram.com

“What we’re seeing is when, when nurses graduate, their entry level competency continues to go down,” said Darla Gruben, who has helped to design and create HSC’s curriculum for its nursing students.

HSC’s goal, she said, is to graduate competent nurses who are ready to treat patients in a nursing residency program. There are about 250 nursing programs in the state, according to the center for nursing workforce studies.

Gruben came to HSC from Texas A&M School of Nursing with Dr. Cindy Weston, the founding dean of the nursing college, to design and create the nursing school. In addition to the nursing students who started Jan. 13, the college has two additional virtual programs that began classes last year, and a fourth program that will start in fall 2025.

Tobechi Duru, 19, decided to become a nurse after a firsthand experience with a patient. During a medical education program at his high school in Houston, Duru saw one patient who was suffering and more than a little grumpy when she first got to the hospital. Eventually, she started to open up to the nurses who were caring for her.

“After the nurses really talked to her, she calmed down,” he said.

Nursing student Tobechi Duru attends his first class at the new College of Nursing School at University of North Texas Health Science Center on Monday, Jan. 13, 2025, in Fort Worth. Thirty students make up the school’s first on-campus cohort.
Nursing student Tobechi Duru attends his first class at the new College of Nursing School at University of North Texas Health Science Center on Monday, Jan. 13, 2025, in Fort Worth. Thirty students make up the school’s first on-campus cohort. Amanda McCoy amccoy@star-telegram.com

The experience helped him realize that patients have their own lives and are going through a lot, he said. And he decided he wanted to be the person who could talk to someone and care for them during a difficult time.

Nursing student Sarah Pappoe, of Arlington, realized she wanted to care for other people when she was 5 years old. Her little sister got sick after a family trip to Ghana, and Pappoe wanted to be able to help her feel better.

“I remember just being by her side the whole time, wanting her to get better,” Pappoe, 22, said. “I couldn’t really do anything.”

In 20 months, Pappoe will have a bachelor of science in nursing. Then, she’ll be able to do something.

Nursing student Sarah Pappoe, right, talks to Cindy Weston, founding dean of the College of Nursing at UNT Health Science Center, during a breakfast to greet the first in-person cohort of the new nursing school on Monday, Jan. 13, 2025, in Fort Worth. The nursing school was established in 2023 to address the nursing shortage in Texas.
Nursing student Sarah Pappoe, right, talks to Cindy Weston, founding dean of the College of Nursing at UNT Health Science Center, during a breakfast to greet the first in-person cohort of the new nursing school on Monday, Jan. 13, 2025, in Fort Worth. The nursing school was established in 2023 to address the nursing shortage in Texas. Amanda McCoy amccoy@star-telegram.com
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Ciara McCarthy
Fort Worth Star-Telegram
Ciara McCarthy covers health and wellness as part of the Star-Telegram’s Crossroads Lab. She came to Fort Worth after three years in Victoria, Texas, where she worked at the Victoria Advocate. Ciara is focused on equipping people and communities with information they need to make decisions about their lives and well-being. Please reach out with your questions about public health or the health care system. Email cmccarthy@star-telegram.com or call or text 817-203-4391.
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