Factors Influencing Job Satisfaction in Community Health Nursing: A Mixed Methods Review

PURPOSE: Community health nurses (CHN) are vital in delivering primary and preventive care, particularly in underserved and rural areas. Their job satisfaction remains a key determinant for workforce retention, quality of care, and professional well-being. Therefore, this review examines the factors influencing the job satisfaction of community health nurses. DESIGN: Mixed-method systematic review. METHODS: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-2020) guidelines. A comprehensive search was conducted across three major databases, including CINAHL, Medline and PROQUEST, between 2019 and December 2025. Two authors independently conducted quality appraisal and data extraction. Data were synthesized using a convergent synthesis approach. FINDINGS: Thirteen studies were included, revealing four themes: Organizational and Work Environment, Financial and Mentorship Support, Role, Recognition and Professional Development, and Workload and System Constraints. These interconnected factors shape job satisfaction among community health nurses, with inadequate organizational support, limited growth opportunities, and heavy workloads linked to greater dissatisfaction. CONCLUSIONS: The findings highlight the importance of creating supportive work environments, ensuring equitable compensation, and offering continuous professional development to enhance job satisfaction among community health nurses. Addressing these factors is critical for improving nurse retention and sustaining high-quality community-based care. CLINICAL RELEVANCE: This review sheds light on the experiences of community health nurses working in both community and home settings. With an increasing number of these nurses leaving the profession and challenges in recruiting for community roles, the findings offer crucial insights for managers and leaders to devise strategies aimed at enhancing nurse satisfaction, boosting retention, and minimizing burnout.