Violence Prevention Through Culture & Models of Care

Education: Key Elements of a Safe Environment
Educational module available as a part of the APNA Transitions in Practice Certificate Course which examines the key elements of a safe environment.
Nurses Create a Culture of Patient Safety
2011 Online Journal of Issues in Nursing article, Nurses Create a Culture of Patient Safety: It Takes More Than Projects.
Tidal Model: Developing an Empowering, Person-Centered Approach to Recovery within Psychiatric-Mental Health Nursing
A 2001 article from the Journal of Psychiatric and Mental Health Nursing.
Safewards Model
2014 article in the Journal of Psychiatric and Mental Health Nursing, Safewards: a new model of conflict and containment on psychiatric wards, provides and overview of the model and how it can help make psychiatric wards safer.
Ecological Factors Affecting Inpatient Psychiatric Unit Violence
2009 Issues in Mental Health Nursing article: A Review of Ecological Factors Affecting Inpatient Psychiatric Unit Violence: Implications for Relational and Unit Cultural Improvements
Relationship-Based Care Field Guide
From Creative Health Care Management, a case study on using the Relationship-Based Care framework to transform culture and improve safety, quality, patient satisfaction, and staff satisfaction.
Causes & Cures Series
Series of 2015 research articles from Aggression and Violent Behavior:
Causes and cures I: Toward a new definition
Causes and cures II: The biology of violence
Causes and cures III: The psychology of violence
Supporting a Psychiatric Hospital Culture of Safety
2012 research article in the Journal of the American Psychiatric Nurses Association which covers the implementation of the TeamSTEPPS approach at a psychiatric hospital in order to improve safety and team functioning.
Sanctuary Model
A model developed by Dr. Sandra L. Bloom which takes a whole culture approach for changing organizational structure in order to effectively provide an environment of healing from trauma and sustain nonviolent lives and systems.


The American Psychiatric Nurses Association is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.