Introduction:  Patient satisfaction is an important measure of care quality and clinical performance because it is an indicator of how nursing services have satisfied the patient. These perceptions are critical to the success of the Healthcare Sector Transformation Program within the Saudi Arabian healthcare framework, as Vision 2030 focuses on an increased emphasis of a more individualized, patient-focused approach. Although nursing personnel are the main key in the care process, a peculiarity of the Saudi workforce, a large percentage of expatriates, creates complicated cultural and language dynamics that affect the patient experience.

Study Objective: This systematic review's goal is to consolidate and evaluate the existing literature on patient satisfaction with nursing care in Saudi Arabia, along with evaluating the level of overall satisfaction with nursing care in various health care settings throughout Saudi Arabia.

Methodology: A systematic review was done following the PRISMA guidelines. An extensive search was carried out in large electronic databases, such as PubMed, Scopus, Web of science, and Google scholar, concerning empirical articles published between 2015 and 2025. Empirical research on satisfaction with nursing care in either an acute care or a Ministry of Health (MOH) hospitals would be used in study selection. The quality of methods was assessed with the help of standardized appraisal measures, including those of Joanna Briggs Institute (JBI), and data were synthesized with the help of narrative analyses to reveal similarities in care delivery practices across different regions and facilities.

Conclusion: Results have shown that overall satisfaction levels of patients in Saudi Arabia tend to be moderate to high, and average scores of 75.96% and low level of general agreement as high as 86% in certain areas. Technical competence of nurses, professionalism, the way they conduct themselves, and provision of patient privacy are the best predictors of a positive experience; nonetheless, systemic barriers remain to stand in the way of optimal care, especially language differences between non-Arabic speaking nurses and patients, lack of time to interact with the patient, and insufficient discharge communication.