Vol. 3 No. 2 (2026): August 2026
Articles

Caring Against the Tides: A Phenomenological Study of the Lived Realities of Nurses in Coastal Community Settings

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  • Ma. Desiree L. Apdujan,
  • Regie P. De Jesus,
  • Blessierine Keiyth N. Quetua,
  • Alecxis Russelle M. Garcia,
  • Fatima Vincent Mogarte
Ma. Desiree L. Apdujan
Dr. Yanga's Colleges, Inc., Bocaue, Bulacan, Philippines
Regie P. De Jesus
Dr. Yanga's Colleges, Inc., Bocaue, Bulacan, Philippines
Blessierine Keiyth N. Quetua
Dr. Yanga's Colleges, Inc., Bocaue, Bulacan, Philippines
Alecxis Russelle M. Garcia
Dr. Yanga's Colleges, Inc., Bocaue, Bulacan, Philippines
Fatima Vincent Mogarte
Dr. Yanga's Colleges, Inc., Bocaue, Bulacan, Philippines
DOI: https://doi.org/10.70848/cnj.v3i2.128

Published 2026-08-07

Keywords

  • Community Health Nursing,
  • Healthcare Delivery,
  • Coastal Communities,
  • Remote Settings

How to Cite

Apdujan, M. D. L., De Jesus, R., Quetua, B. K., Garcia, A. R. M. G., & Mogarte, F. V. (2026). Caring Against the Tides: A Phenomenological Study of the Lived Realities of Nurses in Coastal Community Settings. Celebes Nursing Journal, 3(2), 436–447. https://doi.org/10.70848/cnj.v3i2.128

Abstract

Introduction: Coastal communities in the Philippines represent a critical yet persistently underserved area of public health, where geographic remoteness, environmental risks, and systemic resource limitations collectively hinder the effective delivery of essential healthcare services. While nurses play a central role in healthcare delivery in these communities, their lived experiences and the implications of these experiences for perceived care quality remain insufficiently explored. Objective: This study aimed to explore the lived realities of nurses in coastal community settings and how these realities shaped their perceptions and delivery of care. Methods: The study employed a qualitative phenomenological design and purposive sampling to recruit 10 registered nurses from a Level 1 hospital and selected rural health units in Bulacan, Philippines. Data were gathered through semi-structured face-to-face, telephone, and online interviews and analyzed using Colaizzi’s seven-step phenomenological method. Results: Three themes emerged: (1) Steered by Humanistic-Altruistic Values: Foundations of Nursing Practice in Coastal Settings; (2) Sailing through Barriers: Challenges in Coastal Health Delivery; and (3) Keeping Heads Above Water: Adaptive Coastal Nursing Strategies. Conclusion: Participants described sustained commitment despite significant barriers to healthcare delivery and reported extending beyond their formal roles to bridge systemic gaps. Although resilience and adaptive practices helped them maintain essential services, policymakers must establish adequate infrastructure and institutional support to ensure safe and sustainable care delivery without compromising nurses’ well-being.

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References

  1. Adeniran, A. O., & Tayo-Ladega, O. (2024). Critical analysis of phenomenological research design in a qualitative research method. Management Analytics and Social Insights, 1(2), 186–196. https://doi.org/10.22105/ad338t15
  2. Ahmed, S. K. (2024). The pillars of trustworthiness in qualitative research. Journal of Medicine, Surgery, and Public Health, 2, 100051. https://doi.org/10.1016/j.glmedi.2024.100051
  3. Al Ahmari, R., Al Qannass, S., Govallen, P., Moorkan, N., & Homoud, Z. (2023). The impact of nurses recognition, and empowerment related to nurses job satisfaction at KFSH-D. Open Journal of Nursing, 13(2), 81–94. https://doi.org/10.4236/ojn.2023.132006
  4. Albert, L. (2023). Public health nursing: An essential pillar for community well-being. Journal of Research in Nursing and Midwifery, 12(3), 1–4. https://doi.org/10.14303/2315-568X.2022.47
  5. Asthana, S., & Gibson, A. (2022). Averting a public health crisis in England’s coastal communities: A call for public health research and policy. Journal of Public Health, 44(3), 642–650. https://doi.org/10.1093/pubmed/fdab130
  6. Azanza, R., Sanchez-Escalona, K., & Largo, D. (2022). A sustainable and inclusive blue economy for the Philippine archipelago. Transactions of the National Academy of Science and Technology, 44, 1–11. https://doi.org/10.57043/transnastphl.2022.2564
  7. Azzeri, A., Ching, G. H., Jaafar, H., Mohd Noor, M. I., Razi, N. A., Then, A. Y.-H., Suhaimi, J., Kari, F., & Dahlui, M. (2020). A review of published literature regarding health issues of coastal communities in Sabah, Malaysia. International Journal of Environmental Research and Public Health, 17(5), 1533. https://doi.org/10.3390/ijerph17051533
  8. Babaei, S., Taleghani, F., & Farzi, S. (2022). Components of compassionate care in nurses working in the cardiac wards: A descriptive qualitative study. Journal of Caring Sciences, 11(4), 239–245. https://doi.org/10.34172/jcs.2022.24
  9. Babawarun, O., Okolo, C. A., Arowoogun, J. O., Adeniyi, A. O., & Chidi, R. (2024). Healthcare managerial challenges in rural and underserved areas: A review. World Journal of Biology Pharmacy and Health Sciences, 17(2), 323–330. https://doi.org/10.30574/wjbphs.2024.17.2.0087
  10. Bayhakki, B., Huda, N., & Hasneli, Y. (2024). The lived experiences of providing nursing care in coastal areas: A qualitative study. Journal of the Pakistan Medical Association, 74(5), S44–S47. https://doi.org/10.47391/jpma.ind-rinc-12
  11. Blay, N., & Roche, M. A. (2020). A systematic review of activities undertaken by the unregulated nursing assistant. Journal of Advanced Nursing, 76(7), 1538–1551. https://doi.org/10.1111/jan.14354
  12. Braun, V., & Clarke, V. (2021). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328–352. https://doi.org/10.1080/14780887.2020.1769238
  13. Climate Change Commission, & Department of Environment and Natural Resources. (2024). National adaptation plan (NAP) of the Philippines 2024. https://unfccc.int/sites/default/files/resource/NAP_Philippines_2024.pdf
  14. Colaizzi, P. F. (1978). Psychological research as the phenomenologist views it. In R. S. Valle & M. King (Eds.), Existential-phenomenological alternatives for psychology (pp. 48–71). Oxford University Press.
  15. Collado, Z. C. (2019). Challenges in public health facilities and services: Evidence from a geographically isolated and disadvantaged area in the Philippines. Journal of Global Health Reports, 3, e2019059. https://doi.org/10.29392/joghr.3.e2019059
  16. Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). SAGE Publications.
  17. Dorie, L. J. (2025). Lived experiences of nurses navigating barriers in the Rural Health Unit of Siasi, Sulu. International Journal of Research and Innovation in Applied Science, 10(8), 1359–1371. https://doi.org/10.51584/IJRIAS.2025.100800118
  18. Environmental Science for Social Change. (2024, May 20). Island barangay contexts demand adjusted approaches to governance, infrastructure development, and disaster preparedness. https://essc.org.ph/content/island-barangay-contexts-demand-adjusted-approaches-to-governance-infrastructure-development-and-disaster-preparedness/
  19. Ferreira, D. C., Vieira, I., Pedro, M. I., Caldas, P., & Varela, M. (2023). Patient satisfaction with healthcare services and the techniques used for its assessment: A systematic literature review and a bibliometric analysis. Healthcare, 11(5), 639. https://doi.org/10.3390/healthcare11050639
  20. Halliday, K., Clemens, T., & Dibben, C. (2022). The island effect: Spatial effects on mental wellbeing and residence on remote Scottish islands. Wellbeing Space and Society, 3, 100098. https://doi.org/10.1016/j.wss.2022.100098
  21. Husserl, E. (1931). Ideas: General introduction to pure phenomenology (W. R. B. Gibson, Trans.). Allen & Unwin.
  22. Jose, C. G., Lucy, R., Parker, A. M., Clere, J., Montecillo, L., & Cole, A. M. (2024). Pakikisama: Filipino patient perspectives on health care access and utilization. The Journal of the American Board of Family Medicine, 37(2), 242–250. https://doi.org/10.3122/jabfm.2023.230165r2
  23. Khaleghi, A. A., & Mohammadi, M. (2024). The concept of compassionate care in nursing: A meta-synthesis. Nursing and Midwifery Studies, 13(3), 174–181. https://doi.org/10.48307/nms.2024.412649.1250
  24. Kiptiah, M., & Wahyu, W. (2022). Perceptions of coastal communities on environmental based civic culture. Advances in Social Science, Education and Humanities Research, 636, 661–666. https://www.atlantis-press.com/article/125969025.pdf
  25. Krot, K., & Rudawska, I. (2019). Is patient satisfaction the key to promote compliance in health care sector? Economics & Sociology, 12(3), 291–300. https://doi.org/10.14254/2071-789x.2019/12-3/19
  26. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Sage.
  27. Liu, B., Liu, M., Wang, H., Yang, Y., Ma, Y., & Wei, X. (2022). Can patient gratitude expression boost innovative performance? The role of work meaningfulness and supervisory support. Frontiers in Psychology, 13, 1024211. https://doi.org/10.3389/fpsyg.2022.1024211
  28. Loft, M. I., Posborg, S. M., Mathiesen, L. L., Pedersen, S. G., Brudsø, M., Forsberg, R., Nielsen, T. S., & Jensen, C. G. (2025). Changing practices due to a shortage of nurses: A qualitative exploratory study. International Journal of Nursing Studies Advances, 8, 100334. https://doi.org/10.1016/j.ijnsa.2025.100334
  29. McCullough, K., Bayes, S., Whitehead, L., Williams, A., & Cope, V. (2022). Nursing in a different world: Remote area nursing as a specialist–generalist practice area. Australian Journal of Rural Health, 30(5), 570–581. https://doi.org/10.1111/ajr.12899
  30. McKim, C. A. (2023). Meaningful member-checking: A structured approach to member-checking. American Journal of Qualitative Research, 7(2), 41–52. https://doi.org/10.29333/ajqr/12973
  31. Murray, E. T., Keating, A., Cameron, C., Benchekroun, R., Whewall, S., Booker, C., & Jivraj, S. (2024). Residence in coastal communities in adolescence and health in young adulthood: An 11-year follow-up of English UKHLS youth questionnaire respondents. Health & Place, 87, 103239. https://doi.org/10.1016/j.healthplace.2024.103239
  32. Neubauer, B. E., Witkop, C. T., & Varpio, L. (2019). How phenomenology can help us learn from the experiences of others. Perspectives on Medical Education, 8(2), 90–97. https://doi.org/10.1007/s40037-019-0509-2
  33. Parial, L. L. B., Leyva, E. W. A., Siongco, K. L. L., Dones, L. B. P., Bernal, A. B. S., Lupisan, J. A. C., Santos, D. C., Diamaoden, M. M. C., & Bonito, S. R. (2024). Staffing and workload in primary care facilities of selected geographically isolated and disadvantaged communities in the Philippines. Acta Medica Philippina, 58(12), 21–34. https://doi.org/10.47895/amp.v58i12.9268
  34. Park, H. J., & June, K. J. (2022). The retention factors among nurses in rural and remote areas: Lessons from the community health practitioners in South Korea. Journal of Korean Academy of Community Health Nursing, 33(3), 269–278. https://doi.org/10.12799/jkachn.2022.33.3.269
  35. Perron, D., Parent, K., Gaboury, I., & Bergeron, D. A. (2022). Characteristics, barriers and facilitators of initiatives to develop interprofessional collaboration in rural and remote primary healthcare facilities: A scoping review. Rural and Remote Health, 22(4), 7566. https://doi.org/10.22605/RRH7566
  36. Pham, K. (2022). Safety for community health nurses in rural and remote communities: A literature review and research [Senior thesis, Dominican University of California]. Dominican Scholar. https://doi.org/10.33015/dominican.edu/2022.NURS.ST.15
  37. Praveena, K. R., & Sasikumar, S. (2021). Application of Colaizzi’s method of data analysis in phenomenological research. Medico-Legal Update, 21(2), 914–918. https://doi.org/10.37506/mlu.v21i2.2800
  38. Ruslin, Mashuri, S., Rasak, M. S. A., Alhabsyi, F., & Syam, H. (2022). Semi-structured interview: A methodological reflection on the development of a qualitative research instrument in educational studies. IOSR Journal of Research & Method in Education, 12(1), 22–29. https://doi.org/10.9790/7388-1201052229
  39. Stratton, S. J. (2024). Purposeful sampling: Advantages and pitfalls. Prehospital and Disaster Medicine, 39(2), 121–122. https://doi.org/10.1017/s1049023x24000281
  40. Swartwout, E. (2024). The DAISY Award. JONA: The Journal of Nursing Administration, 54(7/8), 404–408. https://doi.org/10.1097/nna.0000000000001448
  41. Tamata, A. T., & Mohammadnezhad, M. (2022). A systematic review study on the factors affecting the shortage of nursing workforce in the hospitals. Nursing Open, 10(3), 1247–1257. https://doi.org/10.1002/nop2.1434
  42. Tejero, L. M. S., Leyva, E. W. A., Abad, P. J. B., Montorio, D., & Santos, M. L. (2022). Production, recruitment, and retention of health workers in rural areas in the Philippines. Acta Medica Philippina, 56(8), 31–42. https://doi.org/10.47895/amp.vi0.1510
  43. Tenny, S., Brannan, J. M., & Brannan, G. D. (2022). Qualitative study. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470395/
  44. Thomas, S. P., & Sohn, B. K. (2023). From uncomfortable squirm to self-discovery: A phenomenological analysis of the bracketing experience. International Journal of Qualitative Methods, 22, 1–11. https://doi.org/10.1177/16094069231191635
  45. Ward, A., Martin, S., Richards, C., Ward, I., Tulleners, T., Hills, D., Wapau, H., Levett-Jones, T., & Best, O. (2024). Enhancing primary healthcare nurses’ preparedness for climate-induced extreme weather events. Nursing Outlook, 72(5), 102235. https://doi.org/10.1016/j.outlook.2024.102235
  46. Watson, J. (1979). Nursing: The philosophy and science of caring. Little, Brown.