Purpose
This descriptive survey study examined the influence of organizational silence and organizational communication satisfaction on violence coping among emergency department nurses. Methods: Data were collected from February 15, 2023, to February 29, 2024, using a structured self-report questionnaire administered to 187 nurses with at least 6 months of experience in the emergency departments of 10 tertiary and general hospitals in Gangwon Province. The data were analyzed using IBM SPSS 26.0. Descriptive statistics, the independent t-test, one-way analysis of variance, Scheffé’s post hoc test, Pearson’s correlation coefficients, and multiple regression analysis were used. Results: Organizational silence (β=0.19, p=.014) and organizational communication satisfaction (β=0.17, p=.034) were identified as significant predictors of violence coping among emergency department nurses, although the explanatory power of the model was relatively low (R²=.051). Conclusion: These findings suggest the need for strategies to improve organizational communication satisfaction, address organizational silence, and implement ongoing interventions to strengthen emergency department nurses’ ability to cope with violence.

Purpose
Patient handovers are critical for patient safety. Studies have shown that nurses are often interrupted during handovers, and standardized guidelines are lacking. This study aimed to develop and evaluate the effectiveness of a new handover method for emergency nurses.
Methods
This quasi-experimental study implemented a new handover method from August 1, 2022, at the emergency department of a university hospital. Pre- (34 responses) and post-(16 responses, six months later) surveys and post-interviews (six participants) were conducted. In the pre-survey, data were collected regarding handover-related characteristics, cause of handover error, handover perception and handover error experience. Data regarding handover perception and handover error experience were obtained again at the post-survey. Wilcoxon’s signed rank test was used to compare handover perception and handover error experience. The interview results were analyzed using inductive content analysis.
Results
There were no significant differences in information quality or interaction and support, but the new handover method was more efficient, and handover errors decreased. Four themes were identified from interview responses.
Conclusion
By providing a quiet place and allowing emergency nurses to independently review patient records during handovers, we expect to maintain nursing continuity, increase efficiency, and ultimately ensure patient safety and nurses’ job satisfaction.