L’infermiere di accoglienza in pronto soccorso: studio descrittivo sul grado di soddisfazione del paziente in sala d’atte
Abstract
Introduzione: in pronto soccorso, l’aumento degli accessi e la carenza di personale compromettono i tempi di attesa, la qualità percepita delle cure e la sicurezza degli operatori. L’introduzione dell’infermiere di accoglienza, dedicato a fornire informazioni e supportare i pazienti e i loro accompagnatori in sala d’attesa, può migliorare l’esperienza di cura. Lo scopo dello studio è indagare la soddisfazione dei pazienti rispetto al supporto ricevuto dall’infermiere di accoglienza.
Materiali e Metodi: studio osservazionale descrittivo condotto nel mese di dicembre 2024 presso il Pronto Soccorso di un ospedale universitario in Lombardia. I pazienti adulti registrati al triage con codice di priorità compreso tra 3 e 5 e gestiti dall’infermiere di accoglienza sono stati arruolati per compilare il questionario relativo alla soddisfazione.
Risultati: nel periodo di studio sono stati registrati al triage 4613 pazienti e 330 (7.1%) hanno compilato il questionario. La maggior parte dei pazienti (86.7%) ha percepito un’elevata disponibilità da parte dell’infermiere e il 75.8% ha dichiarato di aver ricevuto supporto per comprendere il codice di triage. Tra i 164 commenti aperti analizzati, 124 riportavano apprezzamenti sull’infermiere di accoglienza, in particolare per professionalità, empatia e chiarezza; mentre solo 40 commenti evidenziavano criticità, tra cui tempi di attesa prolungati, necessità di maggiori informazioni e scarsa comprensione del percorso di cura.
Conclusioni: i risultati evidenziano l’importanza dell’infermiere di accoglienza nel migliorare l’esperienza del paziente in sala d’attesa con la soddisfazione dei bisogni informativi, emotivi e assistenziali. Tuttavia, l'efficacia di questo intervento richiede un adeguato supporto organizzativo e la disponibilità di risorse.
Riferimenti bibliografici
- 1 Virkstis K, Boston-Fleischhauer C, Rewers L, et al. 7 executive strategies to stabilize the nursing workforce. J Nurs Adm 2022;52:194–6.
- 2 Beczek A, Vámosi M. Prevalence of prolonged length of stay in an emergency department in urban Denmark: A retrospective health records repository review. J Emerg Nurs 2022;48:102.e1-102.e12.
- 3 Berg LM, Ehrenberg A, Florin J, Öet al. Associations between crowding and ten-day mortality among patients allocated lower triage acuity levels without need of acute hospital care on departure from the emergency department. Ann Emerg Med 2019;74:345–56.
- 4 Guttmann A, Schull MJ, Vermeulen MJ, Stukel TA. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. BMJ 2011;342:d2983–d2983.
- 5 Farrohknia N, Castrén M, Ehrenberg A, et al. Emergency department triage scales and their components: a systematic review of the scientific evidence. Scand J Trauma Resusc Emerg Med 2011;19:42.
- 6 López Hernández M, Puig-Llobet M, Higon Fernández S, et al. Patient satisfaction with the level of competence of the triage nurse in hospital emergency departments. J Clin Nurs 2025;34:3893–907.
- 7 Alnaeem MM Banihani SS, Islaih A, Al-Qudimat AR. Expectations of emergency patients regarding triage system knowledge upon arrival: an interpretive study. Ir J Med Sci 2024;193:2545–52.
- 8 Aaronson EL, Mort E, Sonis JD, et al. Overall emergency department rating: identifying the factors that matter most to patient experience. J Healthc Qual 2018;40:367–76.
- 9 Swancutt D, Joel-Edgar S, Allen M, et al. Not all waits are equal: an exploratory investigation of emergency care patient pathways. BMC Health Serv Res 2017;17:436.
- 10 Sonis JD, Aaronson EL, Castagna A, White B. A conceptual model for emergency department patient experience. J Patient Exp 2019;6:173–8.
- 11 Busti C, Marchetti R, Monti M. Overcrowding in emergency departments: strategies and solutions for an effective reorganization. Ital J Med 2024;18:1714.
- 12 Fallon E, Fung S, Rubal-Peace G, Patanwala AE. Predictors of patient satisfaction with pain management in the emergency department. Adv Emerg Nurs J 2016;38:115–22.
- 13 Eriksson-Liebon M, Roos S, Hellström I. Patients’ expectations and experiences of being involved in their own care in the emergency department: A qualitative interview study. J Clin Nurs 2021;30:1942–52.
- 14 Al-Maskari SA, Al-Busaidi IS, Al-Maskari MA. Workplace violence against emergency department nurses in Oman: a cross-sectional multi-institutional study. Int Nurs Rev 2020;67:249–57.
- 15 Pich JV, Kable A, Hazelton M. Antecedents and precipitants of patient-related violence in the emergency department: Results from the Australian VENT Study (Violence in Emergency Nursing and Triage). Australas Emerg Nurs J 2017;20:107–13.
- 16 Ministero della Salute. Osservatorio nazionale sulla sicurezza degli esercenti le professioni sanitarie e socio-sanitarie. Relaz Attività 2024.
- 17 Zoleo M, Della Rocca F, Tedeschi F, et al. Violence against health workers: findings from three emergency departments in the teaching hospital of Padua, Italy. Intern Emerg Med 2020;15:1067–74.
- 18 Džakula A, Relić D. Health workforce shortage - doing the right things or doing things right? Croat Med J 2022;63:107–9.
- 19 Blackburn J, Ousey K, Goodwin E. Information and communication in the emergency department. Int Emerg Nurs 2019;42:30–5.
- 20 Levinson Wendy, Lesser Cara S, Epstein Ronald M. Developing physician communication skills for patient-centered care. Health Aff (Millwood) 2010;29:1310–8.
- 21 Bull C, Latimer S, Crilly J, Gillespie BM. A systematic mixed studies review of patient experiences in the ED. Emerg Med J 2021;38:643–9.
- 22 Belardinelli M, Ricci M, Frassini S, e al. [Process nurse: the experience of the Emergency Department of Fano]. Assist Inferm Ric 2024;43:54–60.
- 23 Milton J, David ÅN, Erichsen AA, et al. Patients’ perspectives on care, communication, and teamwork in the emergency department. Int Emerg Nurs 2023;66:101238.
- 24 Curran J, Cassidy C, Chiasson D, et al. Patient and caregiver expectations of emergency department care: A scoping literature review. Int Emerg Nurs 2017;32:62–9.
- 25 Bos N, Sizmur S, Graham C, van Stel HF. The accident and emergency department questionnaire: a measure for patients’ experiences in the accident and emergency department. BMJ Qual Saf 2013;22:139–46.
- 26 Bull C, Crilly J, Latimer S, Gillespie BM. Establishing the content validity of a new emergency department patient-reported experience measure (ED PREM): a Delphi study. BMC Emerg Med 2022;22:65.
- 27 Sonis JD, Aaronson EL, Lee RY, et al. Emergency department patient experience: a systematic review of the literature. J Patient Exp 2018;5:101–6.
- 28 Janerka C, Leslie GD, Gill FJ. Patient experience of emergency department triage: An integrative review. Int Emerg Nurs 2024;74:101456.
- 29 Nottingham QJ, Johnson DM, Russell RS. The effect of waiting time on patient perceptions of care quality. Qual Manag J 2018;25:32–45.
- 30 Spechbach H, Rochat J, Gaspoz J-M, et al. Patients’ time perception in the waiting room of an ambulatory emergency unit: a cross-sectional study. BMC Emerg Med 2019;1:41.
- 31 Sonis JD, White BA. Optimizing patient experience in the emergency department. Emerg Med Clin North Am 2020;38:705–13.
- 32 Gabay G, Gere A, Zemel G, Moskowitz H. Personalized communication with patients at the emergency department-an experimental design study. J Pers Med 2022;12:1542.
- 33 Samadbeik M, Staib A, Boyle J, et al. Patient flow in emergency departments: a comprehensive umbrella review of solutions and challenges across the health system. BMC Health Serv Res 2024;24:274.
- 34 Alhabdan N, Alhusain F Alharbi A, et al. Exploring emergency department visits: factors influencing individuals’ decisions, knowledge of triage systems and waiting times, and experiences during visits to a tertiary hospital in Saudi Arabia. Int J Emerg Med 2019;12:35.
- 35 Papa L, Seaberg DC, Rees E, et al. Does a waiting room video about what to expect during an emergency department visit improve patient satisfaction? CJEM 2008;10:347–54.
- 36 Morley C, Unwin M, Peterson GM, et al. Emergency department crowding: A systematic review of causes, consequences and solutions. PLoS One 2018;13:e0203316.
- 37 Edward K-L, Ousey K, Warelow P, Lui S. Nursing and aggression in the workplace: a systematic review. Br J Nurs 2014;23:653–9.
- 38 Luxford K, Safran DG, Delbanco T. Promoting patient-centered care: a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience. Int J Qual Heal Care 2011;23:510–5.
Metriche
Citazioni e attenzione online da Dimensions, Altmetric e PlumX.
Licenza
Copyright (c) 2026 Gli Autori

Questo volume è pubblicato con la licenza Creative Commons Attribuzione - Non commerciale 4.0 Internazionale.
Aniarti ha scelto di applicare la Licenza Creative Commons Attribuzione Non Commerciale 4.0 Internazionale (CC BY-NC 4.0) a tutti i manoscritti da pubblicare.