Objective To develop the Human Caring Satisfaction Evaluation Scale for Hospital Emergency Patients and to test its reliability and validity. Methods Guided by the quality-caring model and Kano model, the scale was constructed through literature analysis, interviews, Delphi expert consultation, and a small-sample pre-survey. Convenient sampling was used to survey 436 emergency inpatients from two tertiary hospitals in Hubei province to examine the reliability and validity of the scale. Results The final scale comprised six dimensions with 32 items:precheck triage caring satisfaction; medical care caring satisfaction; examination, payment and medicine collection caring satisfaction; treatment, rescue and observation caring satisfaction; transportation caring satisfaction; caring environment and facilities satisfaction. Exploratory factor analysis extracted 6 common factors with a cumulative variance contribution rate of 88.260%. Confirmatory factor analysis indicated good model fit and stable factor structure. The S-CVI of the scale was 0.957, and the I-CVI of each item ranged from 0.824 to 1.000; the overall Cronbach′s α coefficient was 0.968, the split-half reliability was 0.960, and the test-retest reliability was 0.876. Conclusion The Human Caring Satisfaction Evaluation Scale for Hospital Emergency Patients demonstrates good reliability and validity, making it a suitable tool for eva-luating the implementation effectiveness of human caring for the emergency department in hospitals.