NURSES' JOB SATISFACTION IN THE PUBLIC HEALTH SYSTEM IN ALBANIA AND KOSOVO

Job satisfaction among nurses is a key determinant of healthcare quality, workforce retention, and professional performance.In Albania, data on the work-related experiences of nurses remain limited.This study aimed to explore the workplace factors influencing their satisfaction.A cross-sectional study was conducted between January and November 2024 among 73 nurses employed in public healthcare institutions across Albania and selected health centers in Kosovo, using convenience sampling.The Healthcare Environment Survey (HES), composed of 76 items grouped into 14 categories, was administered.Overall job satisfaction was high, with 93% of participants expressing agreement.Regression analysis highlighted role clarity, scheduling, unit manager support, and physician relationships as significant predictors, while autonomy, professional growth, and resources were positive but nonsignificant.Qualitative responses emphasized communication, leadership engagement, infrastructure, and access to training as areas for improvement.Nurse satisfaction is multidimensional, shaped by leadership dynamics, role expectations, and organizational support.Managers and policymakers should focus on strengthening communication, team collaboration, and professional development opportunities to improve satisfaction and retention.Limitations include the modest sample size and cross-sectional design.Future studies should use larger and more diverse samples with mixed-methods approaches.