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.