Original Articles

The role of caring nurse in the emergency department: a descriptive analysis of patient satisfaction in the waiting area

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Received: 3 May 2025
Accepted: 19 August 2025
Published: 10 February 2026
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Introduction: overcrowding and staff shortages in Emergency Departments negatively affect waiting times, the perceived quality of care, and the safety of healthcare professionals. The introduction of the caring nurse, dedicated to providing information and emotional support to patients in the waiting room, may improve the care experience.

Materials and Methods: this descriptive observational study was conducted in December 2024 at the Emergency Department of a university hospital in Lombardy, Italy. Adult patients triaged with a priority code between 3 and 5 and managed by the caring nurse were invited to complete a satisfaction questionnaire.

Results: during the study period, 4,613 patients were registered at triage, and 330 (7.1%) completed the questionnaire. The majority of patients (86.7%) perceived a high level of availability from the caring nurse, and 75.8% reported having received support in understanding the assigned triage code. Among the 164 open-ended responses analyzed, 124 expressed appreciation for the caring nurse, particularly highlighting professionalism, empathy, and clarity; whereas only 40 comments pointed out critical issues such as prolonged waiting times, insufficient information, and limited understanding of the clinical pathway.

Conclusions: the findings highlight the value of the caring nurse in improving the patient experience in the Emergency Department waiting area by addressing informational, emotional, and care-related needs. However, the success of this intervention depends on appropriate organizational support and resource allocation.

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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.

How to Cite



The role of caring nurse in the emergency department: a descriptive analysis of patient satisfaction in the waiting area. (2026). Scenario® - Il Nursing Nella Sopravvivenza, 43(1). https://doi.org/10.4081/scenario.2026.644