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Job satisfaction is essential in hospitals for professional nurses to provide quality healthcare services. Job satisfaction of professional nurses contributes to their retention in public hospitals. This study assessed the job satisfaction of professional nurses in public hospitals in the Eastern Cape Province, South Africa. A qualitative case study approach was utilised, collecting data through a combination of in-depth interviews with management and shop stewards, and focus group discussions with professional nurses across three public hospitals in the Eastern Cape Province, South Africa. The interviews and focus group discussions were audio-recorded and transcribed verbatim. The data was analysed thematically. The following three themes emerged from the focus group discussions and interviews: passion for their jobs or profession, professional development opportunities, and a sense of appreciation and satisfaction that influenced professional nurses to continue working in public hospitals. The study further revealed that professional nurses were dissatisfied due to inadequate resources and working conditions, which prevented them from providing high-quality, comprehensive patient care. Job satisfaction is detrimental to staff retention and the provision of quality healthcare services in the South African public healthcare system. It is therefore essential that appropriate mechanisms are put in place to improve professional nurses' job satisfaction in public hospitals, as failure to do so will have a detrimental effect. Authorities should listen to and address professional nurses’ concerns to improve the quality of care in public hospitals.