If not us, then who? Ethnographic insights into nurses’ role in redesigning a rural health service to meet changing demands

The nurses', experience, dedication, and orientation towards the local community were crucial for the redesign process. The nurses ensured the continuiety in the clinic, despite the PCP's sporadic presence, adapted the standardized guidelines to a rural context and were crucial in organising patient care in the rural area. The study shows that the nurses organizing work, which often remains invisible, is essential in the redesign process. The study indicates that the scope of practice for nurses is more extensive in rural areas and should receive greater attention. in both research, practice and health policy.