The Effect of Simulation-Based Training on Physiotherapy Student's Self-Confidence and Satisfaction Level

The 'Student Satisfaction and Confidence Scale in Learning' will be administered separately for blood pressure and ECG training at the end of the simulation. The original 13-item scale by Jeffries and Rizzolo (2006) was adapted into Turkish with 12 items. It uses a 5-point Likert scale and includes two subscales: 'Satisfaction with Current Learning' (5 items) and 'Confidence in Learning' (7 items), with no negative items. Scores are obtained by averaging subscale scores. Higher total scores indicate greater satisfaction and confidence. Item 13 was recommended for exclusion by Franklin et al., re-evaluated by language experts, and removed by the research group. Therefore, the 12-item version will be used in our study

The 'Practitioner Competency Test' in the pre-test includes 5 questions

Questions are:

How confident are you in performing blood pressure measurements? How prepared do you feel for performing blood pressure measurements? How adequate is your practical knowledge for blood pressure measurements? How accurate do you think your blood pressure measurements are? How functional is the theoretical training received on blood pressure measurement during practice?

These questions use a Visual Analog Scale for responses. Additionally, participants will answer statements about their confidence and knowledge in ECG skills using a 5-point Likert scale:

"I feel confident in my ECG assessment skills." "I believe my practical knowledge for ECG application is sufficient." "I think I correctly assess ischemia and necrosis on an ECG." "I feel confident in ECG evaluation." "I find the theoretical training I received on ECG to be functional during practical application."

The pre-test, prepared by the researchers and to be completed by all students before the simulation training, consists of a section called 'Theoretical Knowledge Level Assessment Test.' This section includes 3 open-ended questions designed to measure theoretical knowledge about blood pressure and ECG.

The questions for blood pressure and ECG are as follows:

What are the names of the first and last sounds heard during blood pressure measurement? What do these sounds signify? What are the normal blood pressure values in adults? Which artery is typically used for blood pressure measurement? What waves make up a normal ECG? What is the change seen on an ECG in myocardial ischemia? What are the changes seen on an ECG in myocardial infarction (necrosis)?