PURPOSE: The purpose of this study was to investigate and understand patient satisfaction with caring at a district hospital in Malawi. MATERIALS & METHODS: The study used a mixed methods design, employing the sequential explanatory strategy. A total of 120 adult patients completed a survey questionnaire (phase one), and of these, two patients were followed up with individual interviews (phase two). RESULTS: Data were analyzed using statistical procedures, thematic analysis and an integration process of quantitative and qualitative findings. Highest patient satisfaction (90.6%; M=4.53; SD=0.879) occurred with nurses’ presence; while lowest satisfaction (37.4%; M=1.87; SD=1.710) was seen with patient teaching. Patients’ lived experiences revealed that nurses’ demonstration of presence and professional proficiency were critical to caring. UNIQUE CONTRIBUTION TO THEORY, PRACTICE AND POLICY: To enhance improved caring, there was a need for nurses to increase personal presence, promote patient involvement in decision-making, and demonstrate competent confidence.