Texas has the fourth-lowest nurse-to-population ratio in the country, with only 9.25 nurses per 1,000 residents, according to a recent report by the comptroller’s office.The state’s aging population, along with the COVID-19 pandemic, has put increased pressure on all categories of nursing. The largest shortage of registered nurses and licensed vocational nurses is occurring in inpatient hospital settings and nursing homes.“COVID-19 has really increased the shortage,” said Texas Board of Nursing’s executive director, Kathy Thomas. “Nurses are walking out. They’re worn out, they’re burned out and they’re stepping away from their jobs.”Job shortages are also taking place in the trucking ...