Military nursing in tactical pre-hospital care: structure, action, and challenges in high-risk contexts.
Revista Brasileira de Enfermagem · 2026-01-01 · Qualitative study
Abstract
OBJECTIVES: to understand, in light of Anthony Giddens' Structuring Theory, how military nursing professionals act in tactical pre-hospital care, highlighting training, management, and care practices in risk contexts, and structural challenges that put pressure on their practice. METHODS: a qualitative, descriptive study with 15 participants recruited through chain sampling. Data collection took place between March 2023 and January 2024 using semi-structured interviews. The corpus was processed in Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires and analyzed using Descending Hierarchical Classification. RESULTS: four classes emerged, organized into three axes: leadership in training; resource management in hostile environments; challenges related to communication and scarcity of supplies. CONCLUSIONS: military nursing demonstrates agency by adapting practices and producing innovation even in the face of rigid hierarchical structures. Tactical pre-hospital care must be institutionalized, investing in training, technologies, and scientific production that consolidate this field as strategic for operational health.
Abstract © the authors or publisher, via PubMed. Reuse and removal
Tags
Ambulance & prehospital nurses · Clinician perspective · Communication & handover · Military & tactical
Related articles
- Physicians and nurse's perceptions of leadership in military pre-hospital emergency care. (Int Emerg Nurs, 2023)
- Doctors' and nurses' perceptions of military pre-hospital emergency care - When training becomes reality. (Int Emerg Nurs, 2017)
- The challenges of military medical education and training for physicians and nurses in the Nordic countries - an interview study. (Scand J Trauma Resusc Emerg Med, 2017)
- Nursing competencies in aeromedical transport in the Brazilian Air Force: a descriptive study. (Rev Esc Enferm USP, 2024)
- A qualitative assessment of Ukraine's trauma system during the Russian conflict: experiences of volunteer healthcare providers. (Confl Health, 2024)
- Modern Military Mass Casualty Response: A Qualitative Study From Medical Responders in the Ukraine Conflict. (Disaster Med Public Health Prep, 2025)