Contributions of Simulated High-Fidelity Practice in the transfer of biomechanical knowledge to Midwives Nurses' Clinic

  • Maria Helena Presado
  • Mário Cardoso
  • Armando David Sousa
  • Ana Leonor Mineiro
  • Fátima Mendes Marques
  • Cristina Lavareda Baixinho
  • Miguel Moreira Pinto


The simulated high-fidelity practice (SHFP) is an active training methodology, allowing for the learning, renewal of aptitude and professional skills, promoting safety, education, innovation, research, quality and confidence, reducing the real risk to patients. The ability to, in a controlled, repeatable and readable environment, reproduce and amplify in a fully interactive and real time, gestures, procedures, postures and clinical acts in a variety of situations, power safety and efficiency in care. Being the epicenter of learning, it promotes critical and reflexive thinking, decision-making and acquisition of technical and non-technical skills (Presado et al, 2018).

The specificity of Midwives Nurses' (NM) activity leads to the appearance and / or aggravation of the musculoskeletal Injuries related to work (MIRW), which constitute the greatest occupational health problem in nurses. The complexity of its activities in the delivery room, provide the adoption of postures with body misalignment and consequent postural instability. Rapid movements in stress situations require the transition from a static position to a dynamic position, with the application of forces that are often overloaded, exceeding their individual capacities (Sousa, et al, 2019; David et al, 2018, Presado et al, 2017).

Nurses Midwives give priority to the safety and comfort of the parturient, neglecting their comfort and the adoption of biomechanically safe postures during the delivery. We believe that safe delivery and quality care through evidence-based practice is imperative, as well as ensuring the safety, health, and comfort of NM. In this sense, the concern with the work environment, namely with the adequacy of spaces and equipment, should be a priority of the own and the health institutions (Cardoso el al, 2017).

The use of the principles of biomechanics protects the musculoskeletal system, prevents the adoption of incorrect postures and improper movements, reduces local mechanical stress in muscles, ligaments and joints, fatigue, errors, accidents and the risk of MIRW (David et al, 2018, Presado et al, 2017). In this context, the SHFP is an important training methodology for the prevention of MIRW in NM, allowing a safe and comfortable practice in their professional performance. The present study aims to understand the contribution of SHFP in the transfer of MN biomechanical knowledge to clinical practice.