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A Simulation-Based Framework in Musculoskeletal Physiotherapy Education: Effects on Learning Satisfaction and Self-Confidence

Yıl 2026, Cilt: 11 Sayı: 1, 13 - 18, 28.01.2026
https://doi.org/10.61399/ikcusbfd.1658008

Öz

Objective: Simulation is an important educational strategy in health education, and there are limited studies on the development and integration of simulation in undergraduate physiotherapy education. This study sought to develop a simulated scenario framework for undergraduate musculoskeletal physiotherapy education, evaluate the satisfaction of senior physiotherapy students with simulation-based education, and investigate the relationship between simulation design features, student satisfaction, and self-confidence in learning.
Material and Methods: A simulated scenario framework was developed, and a 6-week education program was planned to use this framework. 50 senior physiotherapy students who took the Clinical Decision Making in Physiotherapy course and agreed to participate voluntarily were included in the study. Data on Student Satisfaction and Self-Confidence in Learning Scale, and Simulation Design Scale were collected via an online survey after the simulated scenario education.
Results: The results of Self-Confidence in Learning Scale (mean score 49.54 ± 5.12) and Simulation Design Scale (mean score 83.90 ± 7.89) were found to be high. In addition, a strong positive correlation was found between the Student Satisfaction and Self-Confidence in Learning Scale and the Simulation Design Scale results (r=0.74, p<0.001).
Conclusion: It is necessary to improve the curriculum and content for simulation education in physiotherapy. Developing an educational framework that will guide the development, delivery, and evaluation of simulated scenario education is an important step. Therefore, the simulation education framework that students are satisfied with and confident in may be appropriate for use in musculoskeletal physiotherapy undergraduate education.

Etik Beyan

The study protocol was approved by the Ethics Committee of Marmara University Health Sciences Institute (21.11.2022-108).

Kaynakça

  • 1. Roberts P. Theoretical models of physiotherapy. Physiotherapy (United Kingdom). 1994;80(6):361–6. DOI: 10.1016/S0031-9406(10)61097-8.
  • 2. Korpi H, Piirainen A, Peltokallio L. Practical work in physiotherapy students’ professional development. Reflective Practice. 2017 Nov 2;18(6):821–36. DOI: 10.1080/14623943.2017.1361920.
  • 3. Higgs J, Jones MA, Loftus S, Christensen N. Clinical reasoning in the health professions e-book. Elsevier Health Sciences. 2008.
  • 4. Wijbenga MH, Bovend’Eerdt TJH, Driessen EW. Physiotherapy students’ experiences with clinical reasoning during clinical placements: A qualitative study. Health Professions Education. 2019 Jun 1;5(2):126–35. DOI: 10.1016/j.hpe.2018.05.003.
  • 5. Morse C, Beroz S, Fey MK. Simulation for competency development in clinical practice. Nurs Clin North Am. 2024;59(3):489–98. DOI: 10.1016/j.cnur.2024.01.010.
  • 6. Alinier G, Shehatta AL, Makker R. Simulation for clinical skills in healthcare education. In: Clinical education for the health professions: Theory and Practice. Springer; 2021. p. 1–21.
  • 7. Yeung E, Dubrowski A, Carnahan H. Simulation-augmented education in the rehabilitation professions: A scoping review. Vol. 20, International Journal of Therapy and Rehabilitation. MA Healthcare Ltd; 2013. p. 228–36. DOI: 10.12968/ijtr.2013.20.5.228.
  • 8. Hough J, Levan D, Steele M, Kelly K, Dalton M. Simulation-based education improves student self-efficacy in physiotherapy assessment and management of paediatric patients. BMC Med Educ. 2019 Dec 16;19(1). DOI: 10.1186/s12909-019-1894-2.
  • 9. Blackstock FC, Jull GA. High-fidelity patient simulation in physiotherapy education. Vol. 53, Australian Journal of Physiotherapy. Australian Physiotherapy Association; 2007. p. 3–5. DOI: 10.1016/S0004-9514(07)70056-9.
  • 10. Roberts F, Cooper K. Effectiveness of high fidelity simulation versus low fidelity simulation on practical/clinical skill development in pre-registration physiotherapy students: A systematic review. Vol. 17, JBI Database of Systematic Reviews and Implementation Reports. Lippincott Williams and Wilkins; 2019. p. 1229–55. DOI: 10.11124/JBISRIR-2017-003931.
  • 11. Williams B, Dousek S. The satisfaction with simulation experience scale (SSES): A validation study. J Nurs Educ Pract. 2012 May 13;2(3). DOI: 10.5430/jnep.v2n3p74.
  • 12. Motola I, Devine LA, Chung HS, Sullivan JE, Issenberg SB. Simulation in healthcare education: A best evidence practical guide. AMEE Guide No. 82. Med Teach. 2013 Oct;35(10). DOI: 10.3109/0142159X.2013.818632.
  • 13. The Association for Simulated Practice in Healthcare (ASPiH). Simulation-based education in healthcare acknowledgements. 2016 [cited 14 Mar 2025]. Available from: https://aspih. org.uk/wp-content/uploads/2017/07/standards-framework.pdf.
  • 14. van der Merwe A, Barnes RY, Labuschagne MJ. The PIER framework for healthcare simulation integration in undergraduate physiotherapy education. BMC Med Educ. 2022 Dec 1;22(1). DOI: 10.1186/s12909-022-03751-7.
  • 15. Cant RP, Cooper SJ. The value of simulation-based learning in pre-licensure nurse education: A state-of-the-art review and meta-analysis. Vol. 27, Nurse Education in Practice. Churchill Livingstone; 2017. p. 45–62. DOI: 10.1016/j.nepr.2017.08.012.
  • 16. Carolan-Olah M, Kruger G, Brown V, Lawton F, Mazzarino M, Vasilevski V. Communicating out loud: Midwifery students’ experiences of a simulation exercise for neonatal resuscitation. Nurse Educ Pract. 2018 Mar 1;29:8–14. DOI: 10.1016/j.nepr.2017.10.027.
  • 17. Vermeulen J, Beeckman K, Turcksin R, Van Winkel L, Gucciardo L, Laubach M, et al. The experiences of last-year student midwives with high-fidelity perinatal simulation training: A qualitative descriptive study. Women and Birth. 2017 Jun 1;30(3):253–61. DOI: 10.1016/j.wombi.2017.02.014.
  • 18. Agha S, Alhamrani AY, Khan MA. Satisfaction of medical students with simulation based learning. Saudi Med J. 2015;36(6):731–6. DOI: 10.15537/smj.2015.6.11501.
  • 19. Zapko KA, Ferranto MLG, Blasiman R, Shelestak D. Evaluating best educational practices, student satisfaction, and self-confidence in simulation: A descriptive study. Nurse Educ Today. 2018 Jan 1;60:28–34. DOI: 10.1016/j.nedt.2017.09.006.
  • 20. Koivisto JM, Haavisto E, Niemi H, Haho P, Nylund S, Multisilta J. Design principles for simulation games for learning clinical reasoning: A design-based research approach. Nurse Educ Today. 2018 Jan 1;60:114–20. DOI: 10.1016/j.nedt.2017.10.002.
  • 21. Cho MK, Kim MY. Factors associated with student satisfaction and self-confidence in simulation learning among nursing students in Korea. Healthcare (Switzerland). 2023 Apr 1;11(8). DOI: 10.3390/healthcare11081060.
  • 22. Jones M. Clinical reasoning and pain. Manual therapy. 1995;1(1):17-24. DOI: 10.1054/math.1995.0245
  • 23. Danneels L, Beernaert A, De Corte K, Descheemaeker F, Vanthillo B, Van Tiggelen D, et al. A didactical approach for musculoskeletal physiotherapy: The planetary model. J Musculoskelet Pain. 2011 Oct;19(4):218–24. DOI: 10.3109/10582452.2011.609637.
  • 24. Unver V, Basak T, Watts P, Gaioso V, Moss J, Tastan S, et al. The reliability and validity of three questionnaires: The student satisfaction and self-confidence in learning scale, simulation design scale, and educational practices questionnaire. Contemp Nurse. 2017 Jan 2;53(1):60–74. DOI: 10.1080/10376178.2017.1282319.
  • 25. Shepherd I, Burton T. A conceptual framework for simulation in healthcare education-The need. Nurse Educ Today. 2019 May 1;76:21–5. DOI: 10.1016/j.nedt.2019.01.033.
  • 26. Santini F de O, Ladeira WJ, Sampaio CH, da Silva Costa G. Student satisfaction in higher education: A meta-analytic study. Journal of Marketing for Higher Education. 2017 Jan 2;27(1):1–18. DOI: 10.1080/08841241.2017.1311980.
  • 27. Jurkowitsch S, Vignali C, Kaufmann HR. A student satisfaction model for Austrian higher education providers considering aspects of marketing communications. Innovative Marketing. 2006.
  • 28. Hur HK, Choi HO, Jung JS, Kang HW, Kim GY. Influence of simulation-based practice on emergency care for patients with dyspnea on learning outcomes in nursing students. Journal of Korean Critical Care Nursing. 2012;5(1):12-22.Kulaber A, Yılmaz H, Yavuzer MG. Kronik bel ağrılı hastalarda fizyoterapi uygulamalarının etkinliği. Haliç Üniversitesi Sağlık Bilimleri Dergisi. 2019;2(1):17-28.

Muskuloskeletal Fizyoterapi Eğitiminde Simülasyon Tabanlı Bir Çerçeve: Öğrenme Memnuniyeti ve Özgüven Üzerindeki Etkileri

Yıl 2026, Cilt: 11 Sayı: 1, 13 - 18, 28.01.2026
https://doi.org/10.61399/ikcusbfd.1658008

Öz

Amaç: Simülasyon, sağlık eğitiminde önemli bir eğitim stratejisidir ve lisans fizyoterapi eğitiminde simülasyonun geliştirilmesi ve entegrasyonuna ilişkin sınırlı sayıda çalışma bulunmaktadır. Bu çalışma, lisans kas-iskelet fizyoterapi eğitimi için simüle edilmiş bir senaryo çerçevesi geliştirmeyi, son sınıf fizyoterapi öğrencilerinin simüle edilmiş senaryo eğitimiyle ilgili memnuniyetini değerlendirmeyi ve simülasyon tasarım özellikleri, öğrenci memnuniyeti ve öğrenmede öz güven arasındaki ilişkiyi araştırmayı amaçlamaktadır.
Gereç ve Yöntem: Simüle edilmiş bir senaryo çerçevesi geliştirildi ve bu çerçeveyi kullanmak için 6 haftalık bir eğitim planlandı. Fizyoterapide Klinik Karar Verme dersini alan ve gönüllü olarak katılmayı kabul eden 50 son sınıf fizyoterapi öğrencisi çalışmaya dahil edildi. Öğrenci Memnuniyeti ve Öğrenmede Öz Güven Ölçeği ve Simülasyon Tasarım Ölçeği ile ilgili veriler, simüle edilmiş senaryo eğitimi sonrasında çevrimiçi bir anket yoluyla toplandı.
Bulgular: Öğrenci Memnuniyeti ve Öğrenmede Öz Güven Ölçeği (ortalama puan 49,54 ± 5,12) ve Simülasyon Tasarım Ölçeği (ortalama puan 83,90 ± 7,89) sonuçlarının yüksek olduğu bulundu. Ayrıca, Öğrenci Memnuniyeti ve Öğrenmede Öz Güven Ölçeği ile Simülasyon Tasarım Ölçeği sonuçları arasında güçlü bir pozitif korelasyon bulundu (r=0,74, p<0,001).
Sonuç: Fizyoterapide simülasyon eğitimi için müfredat ve içeriğin iyileştirilmesi gerekmektedir. Simüle edilmiş senaryo eğitiminin geliştirilmesi, sunulması ve değerlendirilmesine rehberlik edecek bir eğitim çerçevesi geliştirmek önemli bir adımdır. Bu nedenle, öğrencilerin memnun ve güven duyduğu simülasyon eğitim çerçevesi, kas-iskelet fizyoterapisi lisans eğitiminde kullanım için uygun olabilir.

Etik Beyan

Çalışma protokolü Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Etik Kurulu tarafından onaylanmıştır (21.11.2022-108).

Kaynakça

  • 1. Roberts P. Theoretical models of physiotherapy. Physiotherapy (United Kingdom). 1994;80(6):361–6. DOI: 10.1016/S0031-9406(10)61097-8.
  • 2. Korpi H, Piirainen A, Peltokallio L. Practical work in physiotherapy students’ professional development. Reflective Practice. 2017 Nov 2;18(6):821–36. DOI: 10.1080/14623943.2017.1361920.
  • 3. Higgs J, Jones MA, Loftus S, Christensen N. Clinical reasoning in the health professions e-book. Elsevier Health Sciences. 2008.
  • 4. Wijbenga MH, Bovend’Eerdt TJH, Driessen EW. Physiotherapy students’ experiences with clinical reasoning during clinical placements: A qualitative study. Health Professions Education. 2019 Jun 1;5(2):126–35. DOI: 10.1016/j.hpe.2018.05.003.
  • 5. Morse C, Beroz S, Fey MK. Simulation for competency development in clinical practice. Nurs Clin North Am. 2024;59(3):489–98. DOI: 10.1016/j.cnur.2024.01.010.
  • 6. Alinier G, Shehatta AL, Makker R. Simulation for clinical skills in healthcare education. In: Clinical education for the health professions: Theory and Practice. Springer; 2021. p. 1–21.
  • 7. Yeung E, Dubrowski A, Carnahan H. Simulation-augmented education in the rehabilitation professions: A scoping review. Vol. 20, International Journal of Therapy and Rehabilitation. MA Healthcare Ltd; 2013. p. 228–36. DOI: 10.12968/ijtr.2013.20.5.228.
  • 8. Hough J, Levan D, Steele M, Kelly K, Dalton M. Simulation-based education improves student self-efficacy in physiotherapy assessment and management of paediatric patients. BMC Med Educ. 2019 Dec 16;19(1). DOI: 10.1186/s12909-019-1894-2.
  • 9. Blackstock FC, Jull GA. High-fidelity patient simulation in physiotherapy education. Vol. 53, Australian Journal of Physiotherapy. Australian Physiotherapy Association; 2007. p. 3–5. DOI: 10.1016/S0004-9514(07)70056-9.
  • 10. Roberts F, Cooper K. Effectiveness of high fidelity simulation versus low fidelity simulation on practical/clinical skill development in pre-registration physiotherapy students: A systematic review. Vol. 17, JBI Database of Systematic Reviews and Implementation Reports. Lippincott Williams and Wilkins; 2019. p. 1229–55. DOI: 10.11124/JBISRIR-2017-003931.
  • 11. Williams B, Dousek S. The satisfaction with simulation experience scale (SSES): A validation study. J Nurs Educ Pract. 2012 May 13;2(3). DOI: 10.5430/jnep.v2n3p74.
  • 12. Motola I, Devine LA, Chung HS, Sullivan JE, Issenberg SB. Simulation in healthcare education: A best evidence practical guide. AMEE Guide No. 82. Med Teach. 2013 Oct;35(10). DOI: 10.3109/0142159X.2013.818632.
  • 13. The Association for Simulated Practice in Healthcare (ASPiH). Simulation-based education in healthcare acknowledgements. 2016 [cited 14 Mar 2025]. Available from: https://aspih. org.uk/wp-content/uploads/2017/07/standards-framework.pdf.
  • 14. van der Merwe A, Barnes RY, Labuschagne MJ. The PIER framework for healthcare simulation integration in undergraduate physiotherapy education. BMC Med Educ. 2022 Dec 1;22(1). DOI: 10.1186/s12909-022-03751-7.
  • 15. Cant RP, Cooper SJ. The value of simulation-based learning in pre-licensure nurse education: A state-of-the-art review and meta-analysis. Vol. 27, Nurse Education in Practice. Churchill Livingstone; 2017. p. 45–62. DOI: 10.1016/j.nepr.2017.08.012.
  • 16. Carolan-Olah M, Kruger G, Brown V, Lawton F, Mazzarino M, Vasilevski V. Communicating out loud: Midwifery students’ experiences of a simulation exercise for neonatal resuscitation. Nurse Educ Pract. 2018 Mar 1;29:8–14. DOI: 10.1016/j.nepr.2017.10.027.
  • 17. Vermeulen J, Beeckman K, Turcksin R, Van Winkel L, Gucciardo L, Laubach M, et al. The experiences of last-year student midwives with high-fidelity perinatal simulation training: A qualitative descriptive study. Women and Birth. 2017 Jun 1;30(3):253–61. DOI: 10.1016/j.wombi.2017.02.014.
  • 18. Agha S, Alhamrani AY, Khan MA. Satisfaction of medical students with simulation based learning. Saudi Med J. 2015;36(6):731–6. DOI: 10.15537/smj.2015.6.11501.
  • 19. Zapko KA, Ferranto MLG, Blasiman R, Shelestak D. Evaluating best educational practices, student satisfaction, and self-confidence in simulation: A descriptive study. Nurse Educ Today. 2018 Jan 1;60:28–34. DOI: 10.1016/j.nedt.2017.09.006.
  • 20. Koivisto JM, Haavisto E, Niemi H, Haho P, Nylund S, Multisilta J. Design principles for simulation games for learning clinical reasoning: A design-based research approach. Nurse Educ Today. 2018 Jan 1;60:114–20. DOI: 10.1016/j.nedt.2017.10.002.
  • 21. Cho MK, Kim MY. Factors associated with student satisfaction and self-confidence in simulation learning among nursing students in Korea. Healthcare (Switzerland). 2023 Apr 1;11(8). DOI: 10.3390/healthcare11081060.
  • 22. Jones M. Clinical reasoning and pain. Manual therapy. 1995;1(1):17-24. DOI: 10.1054/math.1995.0245
  • 23. Danneels L, Beernaert A, De Corte K, Descheemaeker F, Vanthillo B, Van Tiggelen D, et al. A didactical approach for musculoskeletal physiotherapy: The planetary model. J Musculoskelet Pain. 2011 Oct;19(4):218–24. DOI: 10.3109/10582452.2011.609637.
  • 24. Unver V, Basak T, Watts P, Gaioso V, Moss J, Tastan S, et al. The reliability and validity of three questionnaires: The student satisfaction and self-confidence in learning scale, simulation design scale, and educational practices questionnaire. Contemp Nurse. 2017 Jan 2;53(1):60–74. DOI: 10.1080/10376178.2017.1282319.
  • 25. Shepherd I, Burton T. A conceptual framework for simulation in healthcare education-The need. Nurse Educ Today. 2019 May 1;76:21–5. DOI: 10.1016/j.nedt.2019.01.033.
  • 26. Santini F de O, Ladeira WJ, Sampaio CH, da Silva Costa G. Student satisfaction in higher education: A meta-analytic study. Journal of Marketing for Higher Education. 2017 Jan 2;27(1):1–18. DOI: 10.1080/08841241.2017.1311980.
  • 27. Jurkowitsch S, Vignali C, Kaufmann HR. A student satisfaction model for Austrian higher education providers considering aspects of marketing communications. Innovative Marketing. 2006.
  • 28. Hur HK, Choi HO, Jung JS, Kang HW, Kim GY. Influence of simulation-based practice on emergency care for patients with dyspnea on learning outcomes in nursing students. Journal of Korean Critical Care Nursing. 2012;5(1):12-22.Kulaber A, Yılmaz H, Yavuzer MG. Kronik bel ağrılı hastalarda fizyoterapi uygulamalarının etkinliği. Haliç Üniversitesi Sağlık Bilimleri Dergisi. 2019;2(1):17-28.
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri Eğitimi ve Program Geliştirme: Tıp, Hemşirelik ve Sağlık Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Mehmet Eren Ucuzoğlu 0000-0002-9034-4012

Ender Ersin Avcı 0000-0002-8089-0351

Mine Gulden Polat 0000-0002-9705-9740

İlkşan Demirbüken 0000-0003-0566-5784

Gönderilme Tarihi 14 Mart 2025
Kabul Tarihi 13 Mayıs 2025
Yayımlanma Tarihi 28 Ocak 2026
Yayımlandığı Sayı Yıl 2026 Cilt: 11 Sayı: 1

Kaynak Göster

APA Ucuzoğlu, M. E., Avcı, E. E., Polat, M. G., Demirbüken, İ. (2026). A Simulation-Based Framework in Musculoskeletal Physiotherapy Education: Effects on Learning Satisfaction and Self-Confidence. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 11(1), 13-18. https://doi.org/10.61399/ikcusbfd.1658008
AMA Ucuzoğlu ME, Avcı EE, Polat MG, Demirbüken İ. A Simulation-Based Framework in Musculoskeletal Physiotherapy Education: Effects on Learning Satisfaction and Self-Confidence. İKÇÜSBFD. Ocak 2026;11(1):13-18. doi:10.61399/ikcusbfd.1658008
Chicago Ucuzoğlu, Mehmet Eren, Ender Ersin Avcı, Mine Gulden Polat, ve İlkşan Demirbüken. “A Simulation-Based Framework in Musculoskeletal Physiotherapy Education: Effects on Learning Satisfaction and Self-Confidence”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 11, sy. 1 (Ocak 2026): 13-18. https://doi.org/10.61399/ikcusbfd.1658008.
EndNote Ucuzoğlu ME, Avcı EE, Polat MG, Demirbüken İ (01 Ocak 2026) A Simulation-Based Framework in Musculoskeletal Physiotherapy Education: Effects on Learning Satisfaction and Self-Confidence. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 11 1 13–18.
IEEE M. E. Ucuzoğlu, E. E. Avcı, M. G. Polat, ve İ. Demirbüken, “A Simulation-Based Framework in Musculoskeletal Physiotherapy Education: Effects on Learning Satisfaction and Self-Confidence”, İKÇÜSBFD, c. 11, sy. 1, ss. 13–18, 2026, doi: 10.61399/ikcusbfd.1658008.
ISNAD Ucuzoğlu, Mehmet Eren vd. “A Simulation-Based Framework in Musculoskeletal Physiotherapy Education: Effects on Learning Satisfaction and Self-Confidence”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 11/1 (Ocak2026), 13-18. https://doi.org/10.61399/ikcusbfd.1658008.
JAMA Ucuzoğlu ME, Avcı EE, Polat MG, Demirbüken İ. A Simulation-Based Framework in Musculoskeletal Physiotherapy Education: Effects on Learning Satisfaction and Self-Confidence. İKÇÜSBFD. 2026;11:13–18.
MLA Ucuzoğlu, Mehmet Eren vd. “A Simulation-Based Framework in Musculoskeletal Physiotherapy Education: Effects on Learning Satisfaction and Self-Confidence”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, c. 11, sy. 1, 2026, ss. 13-18, doi:10.61399/ikcusbfd.1658008.
Vancouver Ucuzoğlu ME, Avcı EE, Polat MG, Demirbüken İ. A Simulation-Based Framework in Musculoskeletal Physiotherapy Education: Effects on Learning Satisfaction and Self-Confidence. İKÇÜSBFD. 2026;11(1):13-8.