The environment of the emergency department in the Hospital setting is unpredictable and dynamic. More patients are showing up for care and treatment on a regular basis. Over the past few years, there has been an unexpected increase of presentations in Emergency departments in Australia amounting to nearly seven million presentations annually. Similar rises have been seen all around the world. The issues faced by emergency departments around the world include not only an increase in patient volume but also in patient acuity, dwindling hospital resources and bed availability, the skilled staff, and country-specific key performance metrics. The team providing the care, and in especially the doctor, has a direct impact on the patient's experience and the quality of the care they receive. However, the literature hasn't really focused much on how emergency nurses who do graduate-level emergency nursing courses.