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Revista de Investigação & Inovação em Saúde
versão impressa ISSN 2184-1578versão On-line ISSN 2184-3791
Resumo
MATOS, Ricardo C. et al. Influence of the nurse-patient ratio on physical restraint in psychiatry: systematic review. RIIS [online]. 2021, vol.4, n.2, pp.105-116. Epub 31-Dez-2021. ISSN 2184-1578. https://doi.org/10.37914/riis.v4i2.137.
Background:
physical restraint in psychiatric services is a common practice, which can compromise a person’s freedom, self-determination, dignity and life. Associated with efforts to minimize the use of this measure, the nurse-patient ratio factor has been little studied.
Objective:
to analyze the influence of the nurse-patient ratio in psychiatric services on the use of physical restraint and isolation.
Methodology:
systematic literature review, according to the Joanna Briggs Institute (JBI) methodology. Studies in patients admitted to psychiatric services, published until 12/10/2020, were included.
Results:
1208 studies screened, including 4 observational. One analyzed ratio, while others, the number of nurses/professionals. Two observed rate and duration of isolation, while the rest also looked at physical restraint. Two studies concluded that the increase in the number/ratio of nurses decreases the use and duration of restrictive measures, while the other two concluded the opposite. In the study that analyzed the nurse-user ratio, a reduction in these measures was observed.
Conclusions:
it was not possible to determine a clear association between an improvement in the nurse-patient ratio in psychiatric services and a reduction in the use of physical restraint and isolation. However, it is recommended that research be strengthened so that robust results can be identified.
Palavras-chave : psychiatry; physical restraint; nursing endowment; nursing ratio.