<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-1578</journal-id>
<journal-title><![CDATA[Revista de Investigação & Inovação em Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[RIIS]]></abbrev-journal-title>
<issn>2184-1578</issn>
<publisher>
<publisher-name><![CDATA[Escola Superior de Saúde Norte da Cruz Vermelha Portuguesa, Unidade de Investigação e Desenvolvimento]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-15782021000200105</article-id>
<article-id pub-id-type="doi">10.37914/riis.v4i2.137</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Influência do rácio enfermeiro-utente na contenção física em psiquiatria: revisão sistemática]]></article-title>
<article-title xml:lang="en"><![CDATA[Influence of the nurse-patient ratio on physical restraint in psychiatry: systematic review]]></article-title>
<article-title xml:lang="es"><![CDATA[Influencia de la proporción enfermero-usuario en la contención física en psiquiatría: revision sistemática]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matos]]></surname>
<given-names><![CDATA[Ricardo C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Bruna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Carla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correia]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Emanuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[António]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quesado]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar do Baixo Vouga Departamento de Psiquiatria e Saúde Mental ]]></institution>
<addr-line><![CDATA[Aveiro ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar Universitário de Coimbra Serviço Consulta Externa ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Hospitalar Universitário de Coimbra Hospital Pediátrico Serviço de Pedopsiquiatria]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Hospitalar Universitário de Coimbra Hospital Pediátrico Serviço de Pedopsiquiatria]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Prisional de São João de Deus Serviço Medico Cirúrgico ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Centro Hospitalar Universitário de São João  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Escola Superior de Saúde Norte da Cruz Vermelha Portuguesa  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>4</volume>
<numero>2</numero>
<fpage>105</fpage>
<lpage>116</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-15782021000200105&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-15782021000200105&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-15782021000200105&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Enquadramento:  a contenção física em serviços de psiquiatria é uma prática comum, que pode comprometer a liberdade, a autodeterminação, a dignidade e a vida da pessoa. Associado aos esforços para minimizar o recurso a esta medida, o fator rácio enfermeiro-utente tem sido pouco estudado.  Objetivo:  analisar a influência do rácio enfermeiro-utente em serviços de psiquiatria, no recurso à contenção física e isolamento.  Metodologia:  revisão sistemática da literatura, segundo a metodologia do Joanna Briggs Institute (JBI). Incluíram-se estudos em utentes internados em serviços de psiquiatria, publicados até 10/12/2020.  Resultados:  triaram- se 1208 estudos, incluindo 4 observacionais. Um analisou o rácio, enquanto os outros analisaram o número de enfermeiros/profissionais. Dois analisaram a taxa e duração do isolamento, enquanto os restantes analisaram também a contenção física. Dois estudos concluíram que o aumento do número/rácio de enfermeiros diminui o uso e duração de medidas restritivas, enquanto nos outros dois se conclui o inverso. No estudo em que se analisou o rácio enfermeiro-utente, observou-se a redução destas medidas.  Conclusão:  não foi possível determinar uma clara associação entre melhoria do rácio enfermeiro-utente em serviços de psiquiatria e redução do recurso à contenção física e isolamento. Contudo, recomenda-se o reforço da investigação para que se possam identificar resultados robustos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: physical restraint in psychiatric services is a common practice, which can compromise a person&#8217;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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Marco contextual:  la restricción física en servicios psiquiátricos es una práctica común que puede comprometer la libertad, la autodeterminación, la dignidad y vida de una persona. Asociado con los esfuerzos para minimizar su uso, el factor de proporción enfermera-usuario há sido poco estudiado.  Objetivo: analizar la influencia de la relación enfermero-usuario en los servicios psiquiátricos sobre el uso de contención física y aislamiento.  Metodología: revisión sistemática de literatura, según metodología del Instituto Joanna Briggs (JBI). Se incluyeron estudios sobre servicios psiquiátricos para pacientes hospitalizados publicados hasta el 12/10/2020.  Resultados: se seleccionaron 1208 estudios, incluidos 4 observacionales. Uno analizó la proporción y otros el número de enfermeras / profesionales. Dos observaron el índice y duración del aislamiento, y otros también observaron la restricción física. Dos concluyeron que el aumento en el número / proporción de enfermeras disminuye el uso y la duración de las medidas restrictivas, y otros dos lo contrario. En el estudio que se analizó la relación enfermeras-usuarios se observó una reducción de estas medidas.  Conclusiones: no fue posible determinar clara asociación entre la mejora en la proporción enfermera-usuario en servicios psiquiátricos y la reducción en el uso de medidas restrictivas. Se recomienda realizar más investigaciones para identificar resultados sólidos.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[psiquiatria]]></kwd>
<kwd lng="pt"><![CDATA[contenção física]]></kwd>
<kwd lng="pt"><![CDATA[dotação de enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[rácio de enfermagem]]></kwd>
<kwd lng="en"><![CDATA[psychiatry]]></kwd>
<kwd lng="en"><![CDATA[physical restraint]]></kwd>
<kwd lng="en"><![CDATA[nursing endowment]]></kwd>
<kwd lng="en"><![CDATA[nursing ratio]]></kwd>
<kwd lng="es"><![CDATA[psiquiatría]]></kwd>
<kwd lng="es"><![CDATA[restricción física]]></kwd>
<kwd lng="es"><![CDATA[dotación de enfermería]]></kwd>
<kwd lng="es"><![CDATA[proporción de enfermería]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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