Exploring job satisfaction and associated factors among nurses and midwives: a qualitative descriptive study in the Ho Municipality, Ghana

INTRODUCTION: Nurses and Midwives job satisfaction is essential as it affects job performance, which can ultimately influence health outcomes and patient satisfaction. Improving working conditions and job satisfaction among nurses is essential because it is an important factor that determines work quality and workplace relations. However, context-specific evidence on the factors shaping job satisfaction in the Ho Municipality of Ghana remains limited. This study explored job satisfaction and its associated factors among nurses and midwives within the Ho Municipality. METHODS: The study was a qualitative descriptive design, and data was collected through in-depth interviews using a semi-structured interview guide. The sample size was not predetermined; rather, participants were recruited until data saturation was achieved. Saturation occurred at the 13th participant, at which point no new themes or insights were emerging, and recruitment was therefore concluded. All interviews were transcribed verbatim and analyzed using a reflexive thematic analysis approach. RESULTS: A total of 4 themes and 14 sub-themes emerged from the study, revealing that nurses generally have a low level of job satisfaction due to factors such as salary issues, absence of opportunities for career progression, attitudes of patients and relatives, and lack of supportive leaders. Despite these factors, they employ strategies to cope with the challenges, such as improvising and self-motivation with hopes for a better future. CONCLUSION: Addressing workplace challenges faced by nurses and midwives is critical for improving job satisfaction, workforce retention, and the overall quality of healthcare delivery. Healthcare managers and policymakers should prioritize improving remuneration, creating clear opportunities for professional development, and fostering supportive leadership and positive workplace environments. Implementing such measures will contribute to enhancing motivation and well-being among nurses and midwives and ultimately strengthen health service delivery.