Background: Encounters between patient and health care have been shortened and fragmented. Times when the patient is in the continuum of care is related to how well the patient feels confirmed in the meeting with his/her carers. Aim : The aim of this study is to highlight skills that nurses use to provide good care relationships with patients in the ambulance and emergency room. Method: A literature review was done. Search for articles was conducted in the databases Cinahl and Pubmed. Nine articles were selected for analysis. Results: Nurses used various communication strategies to successfully establish a good nursing relationship in the meeting with the patient. Patients experienced the nurse who took time and was present in the meeting as the one who was really professional. Six themes were found. These were: Establish a communicative environment, establish contact, listening, verbal and nonverbal communication, being available and provide information. Conclusion : Nurses need to use his special skill to meet patient's need to feel valuable, seen and significant.