Determinants of Job Satisfaction among Nurses in Christian Health Association of Ghana (CHAG) Hospitals in the Sekyere South District of the Ashanti Region: A Cross-sectional Study

Background The level of job satisfaction that nurses have is critical to the quality of care that they provide, particularly in healthcare systems that are experiencing staffing shortages and restricted resources. This study assessed the level of job satisfaction among nurses working in Christian Health Association of Ghana (CHAG) hospitals in the Ashanti Region, and identified the key factors influencing their satisfaction. Methodology: A cross-sectional study involving 257 nurses was conducted using multi-stage sampling. Data was obtained through the use of structured questionnaires conducted in the field. A combination of descriptive and inferential statistics was deployed in the analysis of the data using SPSS version 25.0. Prior to the procedure of data collection, both ethical approval and informed permission were made available. Results Most (76.0%) of the nurses reported moderate to high job satisfaction, and 44.4% expressed a strong commitment to staying long-term at their current hospitals. Job satisfaction was significantly influenced by rank (χ²=6.17, p = 0.046); nurse officers were 65% less likely to be satisfied compared to certified registered nurses and senior nurse officers [AOR = 0.35 (0.13–0.91), p = 0.032]. Environmental factors that significantly influenced job satisfaction included manageable workload (χ²=16.7, p < 0.001), adequate staffing (χ²=11.6, p = 0.001), workplace safety (χ²=26.8, p < 0.001), teamwork (χ²=19.4, p < 0.001), and decision-making autonomy (χ²=4.3, p = 0.038). Teamwork improved satisfaction by 3 times [AOR = 3.1 (1.51–6.23), p = 0.002]. Still, many nurses identified understaffing and job-related stress as ongoing concerns. Institutional support also influenced job satisfaction. Conclusion While most nurses in CHAG hospitals are moderately to highly satisfied with their jobs, several factors, including staffing challenges, emotional stress, and inadequate recognition, continue to affect morale. To improve job satisfaction, the study recommends collaboration between CHAG and the Ministry of Health to establish fair workload guidelines and enforce minimum staffing standards.