This qualitative study explored the lived experiences of nurses working in the Rural Health Unit (RHU) of Siasi, a geographically isolated and disadvantaged area in the province of Sulu, Philippines. Guided by the Constructivist–Interpretivist paradigm, the research sought to uncover the meanings nurses ascribe to their professional roles within a complex socio-cultural and resource-limited context. Eight government-employed nurses assigned to various barangays and island communities participated in in-depth interviews, allowing rich narratives to emerge. Data were analyzed thematically, revealing four overarching themes: Living the Role Beyond Nursing, Navigating Challenges in Resource-Limited Settings, Cultural Sensitivity in Care Delivery, and Sustaining Commitment Amid Adversity. The findings highlight the multifaceted responsibilities of rural nurses, who often function beyond their clinical roles to address community health needs, manage scarce resources, and provide culturally attuned care. This study underscores the critical importance of context-specific support systems, continuous professional development, and policy interventions tailored to the realities of rural health work. By illuminating the social constructions of professional identity and resilience among rural nurses, the research contributes to a deeper understanding of nursing practice in underserved communities and offers valuable insights for strengthening primary healthcare delivery in remote areas.
Eling et al. (Wed,) studied this question.