The Healer's Foundation: A Model of Self-Awareness, Self-Efficacy, and Social Support in Fostering Counselor Students' Self-Care
DOI:
https://doi.org/10.25217/0020258661900Keywords:
Self-Awareness, Self-Care, Self-Efficacy, Social SupportAbstract
Counselor Students, while seen as key providers of counseling and guidance services in educational settings, frequently face challenges stemming from insufficient self-care practices. The absence of these practices often leads to psychological difficulties that compromise their ability to fully embody the characteristics of effective counselors. This situation raises concerns about counselor students’ readiness to assume professional responsibilities and maintain long-term effectiveness in their roles. Therefore, the objective of this study is to investigate the impact of self-awareness, self-efficacy, and social support on the self-care of prospective counselor students, and to develop a comprehensive theoretical framework tailored specifically to their needs. This study employed an Ex Post Facto Causal Relationship Explanatory design. A sample of 277 students (38 males and 239 females) was selected using convenience sampling. Data were collected using four validated and reliable instruments—the Self-Efficacy Scale, the Self-Awareness Scale, Sarafino's Social Support Scale, and the Mindful Self-Care Scale. Data were analyzed through Structural Equation Modeling (SEM) to examine the relationships between the variables. The obtained results showed that significant relationships existed between self-awareness, self-efficacy, and social support with self-care. This research underscored the significance of harmonizing the pre-service Guidance and Counseling education curriculum with the sole purpose of cultivating self-care practices among students through synchronized learning.
References
Ashley, G. C., & Reiter-Palmon, R. (2012). Self-Awareness and the Evolution of Leaders: The Need for a Better Measure of Self-Awareness. Journal of Behavioral and Applied Management, 14(1), 2–17. https://doi.org/10.21818/001c.17902
Awang, Z. (2012). A Handbook on SEM Structural Equation Modelling: SEM Using AMOS Graphic (5th ed.). Universiti Teknologi Mara Kelantan.
Ayed, A., Malak, M. Z., Al-amer, R. M., Batran, A., & Salameh, B. (2021). Effect of high fidelity simulation on perceptions of self-awareness, empathy, and patient-centered care among university pediatric nursing classes. Clinical Simulation in Nursing, 56, 84–90. https://doi.org/10.1016/j.ecns.2021.04.005;
Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev, 84(2), 191-215. https://doi.org/10.1037//0033-295x.84.2.191
Bandura, A. (2004). Health promotion by social cognitive means. Health Educ Behav, 31(2), 143-164. https://doi.org/10.1177/1090198104263660
Barlow, J. H., Cullen, L. A., & Rowe, I. F. (2002). Educational preferences, psychological well-being and self-efficacy among people with rheumatoid arthritis. Patient Educ Couns, 46(1), 11-19. https://doi.org/10.1016/s0738-3991(01)00146-x
Barnett, J. E., & Cooper, N. (2009). Creating a culture of self-care. Clinical Psychology: Science and Practice, 16(1), 16-20. https://doi.org/10.1111/j.1468-2850.2009.01138.x
Beeble, M. L., Bybee, D., Sullivan, C. M., & Adams, A. E. (2009). Main, mediating, and moderating effects of social support on the well-being of survivors of intimate partner violence across 2 years. J Consult Clin Psychol, 77(4), 718-729. https://doi.org/10.1037/a0016140
Benight, C. C., & Bandura, A. (2004). Social cognitive theory of posttraumatic recovery: the role of perceived self-efficacy. Behav Res Ther, 42(10), 1129-1148. https://doi.org/10.1016/j.brat.2003.08.008
Bloomquist, K. R., Wood, L., Friedmeyer-Trainor, K., & Kim, H.-W. (2016). Self-care and Professional Quality of Life: Predictive Factors among MSW Practitioners. Advances in Social Work, 16(2), 292-311. https://doi.org/10.18060/18760
Boellinghaus, I., Jones, F. W., & Hutton, J. (2013). Cultivating self-care and compassion in psychological therapists in training: The experience of practicing loving-kindness meditation. Training and Education in Professional Psychology, 7(4), 267-277. https://doi.org/10.1037/a0033092
Bressi, S. K., & Vaden, E. R. (2016). Reconsidering Self Care. Clinical Social Work Journal, 45(1), 33-38. https://doi.org/10.1007/s10615-016-0575-4
Captieux, M., Pearce, G., Parke, H. L., Epiphaniou, E., Wild, S., Taylor, S. J. C., & Pinnock, H. (2018). Supported self-management for people with type 2 diabetes: a meta-review of quantitative systematic reviews. BMJ Open, 8(12), e024262. https://doi.org/10.1136/bmjopen-2018-024262
Carden, J., Jones, R. J., & Passmore, J. (2021). Defining Self-Awareness in the Context of Adult Development: A Systematic Literature Review. Journal of Management Education, 46(1), 140-177. https://doi.org/10.1177/1052562921990065
Carroll, L., Gilroy, P. J., & Murra, J. (2008). The Moral Imperative. Women & Therapy, 22(2), 133-143. https://doi.org/10.1300/J015v22n02_10
Chica-Perez, A., Dobarrio-Sanz, I., Correa-Casado, M., Fernandez-Sola, C., Ruiz-Fernandez, M. D., & Hernandez-Padilla, J. M. (2023). Spanish version of the self-care self-efficacy scale: A validation study in community-dwelling older adults with chronic multimorbidity. Geriatr Nurs, 53, 181-190. https://doi.org/10.1016/j.gerinurse.2023.07.016
Coleman, C., Martensen, C., Scott, R., & Indelicato, N. A. (2016). Unpacking self-care: The connection between mindfulness, self-compassion, and self-care for counselors. Counseling & Wellness: A Professional Counseling Journal, 5. https://doi.org/http://openknowledge.nau.edu/id/eprint/2337
Collier, J. E. (2020). Applied Structural Equation Modeling Using AMOS: Basic to Advanced Techniques. Routledge. https://doi.org/10.4324/9781003018414
Coster, J. S., & Schwebel, M. (1997). Well-functioning in professional psychologists. Professional Psychology: Research and Practice, 28(1), 5-13. https://doi.org/10.1037/0735-7028.28.1.5
Doğan, İ., & Özdamar, K. (2017). The effect of different data structures, sample sizes on model fit measures. Communications in Statistics - Simulation and Computation, 46(9), 7525-7533. https://doi.org/10.1080/03610918.2016.1241409
Du, S., Tian, L., Tian, Y., Feng, Z., & Wang, Y. (2023). The role of self-efficacy and self-care agency as mediating factors in the link between health literacy and health-promoting lifestyle among older adults post covid 19 era: A multiple mediator model. In Geriatric nursing (Vol. 54, pp. 252–257). https://doi.org/10.1016/j.gerinurse.2023.10.013
Eller, L. S., Lev, E. L., Yuan, C., & Watkins, A. V. (2018). Describing Self-Care Self-Efficacy: Definition, Measurement, Outcomes, and Implications. Int J Nurs Knowl, 29(1), 38-48. https://doi.org/10.1111/2047-3095.12143
Ernsting, A., Knoll, N., Schneider, M., & Schwarzer, R. (2015). The enabling effect of social support on vaccination uptake via self-efficacy and planning. Psychol Health Med, 20(2), 239-246. https://doi.org/10.1080/13548506.2014.920957
Ghasemi, S., Kayvani, M., & Abdoli, B. (2024). Impact of Pilates suspension with self-awareness on gait and metacognition in multiple sclerosis: Randomized, single-blinded and parallel-group trial. Explore (NY), 20(1), 110-115. https://doi.org/10.1016/j.explore.2023.07.009
Godfrey, C. M., Harrison, M. B., Lysaght, R., Lamb, M., Graham, I. D., & Oakley, P. (2011). Care of self - care by other - care of other: the meaning of self-care from research, practice, policy and industry perspectives. Int J Evid Based Healthc, 9(1), 3-24. https://doi.org/10.1111/j.1744-1609.2010.00196.x
Gong, G., & Mao, J. (2016). Health-Related Quality of Life Among Chinese Patients With Rheumatoid Arthritis: The Predictive Roles of Fatigue, Functional Disability, Self-Efficacy, and Social Support. Nurs Res, 65(1), 55-67. https://doi.org/10.1097/NNR.0000000000000137
Goudarzian, A. H., Nesami, M. B., Sedghi, P., Gholami, M., Faraji, M., & Hatkehlouei, M. B. (2019). The Effect of Self-Care Education on Emotional Intelligence of Iranian Nursing Students: A Quasi-experimental Study. J Relig Health, 58(2), 589-598. https://doi.org/10.1007/s10943-017-0537-3
Harandi, T. F., Taghinasab, M. M., & Nayeri, T. D. (2017). The correlation of social support with mental health: A meta-analysis. Electron Physician, 9(9), 5212-5222. https://doi.org/10.19082/5212
Karimy, M., Araban, M., Zareban, I., Taher, M., & Abedi, A. (2016). Determinants of adherence to self-care behavior among women with type 2 diabetes: an explanation based on health belief model. Medical journal of the Islamic Republic of Iran, 30, 368.
Kline, R. B. (2023). Principles and practice of structural equation modeling. Guilford publications.
Koetsenruijter, J., van Lieshout, J., Lionis, C., Portillo, M. C., Vassilev, I., Todorova, E., Foss, C., Gil, M. S., Knutsen, I. R., Angelaki, A., Mujika, A., Roukova, P., Kennedy, A., Rogers, A., & Wensing, M. (2015). Social Support and Health in Diabetes Patients: An Observational Study in Six European Countries in an Era of Austerity. PloS one, 10(8), e0135079. https://doi.org/10.1371/journal.pone.0135079
Konaszewski, K., Kolemba, M., & Niesiobędzka, M. (2019). Resilience, sense of coherence and self-efficacy as predictors of stress coping style among university students. Current Psychology, 40(8), 4052-4062. https://doi.org/10.1007/s12144-019-00363-1
Kusnanto, K., Sari, N., Harmayetty, H., Efendi, F., & Gunawan, J. (2018). Self-care model application to improve self-care agency, self-care activities, and quality of life in patients with systemic lupus erythematosus. J Taibah Univ Med Sci, 13(5), 472-478. https://doi.org/10.1016/j.jtumed.2018.07.002
Lambermon, F., Vandenbussche, F., Dedding, C., & van Duijnhoven, N. (2020). Maternal self-care in the early postpartum period: An integrative review. Midwifery, 90, 102799. https://doi.org/10.1016/j.midw.2020.102799
Lambert, J. E., Benight, C. C., Wong, T., & Johnson, L. E. (2013). Cognitive bias in the interpretation of physiological sensations, coping self-efficacy, and psychological distress after intimate partner violence. Psychological Trauma: Theory, Research, Practice, and Policy, 5(5), 494-500. https://doi.org/10.1037/a0029307
Lee, J. J., & Miller, S. E. (2018). A Self-Care Framework for Social Workers: Building a Strong Foundation for Practice. Families in Society: The Journal of Contemporary Social Services, 94(2), 96-103. https://doi.org/10.1606/1044-3894.4289
Li, T., Jiang, T., Shi, G., Song, C., & Shi, T. (2022). Correlation between self-awareness, communication ability and caring ability of undergraduate nursing students/A cross-sectional study. Nurse Educ Today, 116, 105450. https://doi.org/10.1016/j.nedt.2022.105450
Liu, L., Xu, N., & Wang, L. (2017). Moderating role of self-efficacy on the associations of social support with depressive and anxiety symptoms in Chinese patients with rheumatoid arthritis. Neuropsychiatr Dis Treat, 13, 2141-2150. https://doi.org/10.2147/NDT.S137233
Luszczynska, A., Scholz, U., & Schwarzer, R. (2005). The general self-efficacy scale: multicultural validation studies. J Psychol, 139(5), 439-457. https://doi.org/10.3200/JRLP.139.5.439-457
Maninet, S., & Desaravinid, C. (2023). Relationships between illness perception, functional status, social support, and self-care behavior among Thai people at high risk of stroke: A cross-sectional study. Belitung Nurs J, 9(1), 62-68. https://doi.org/10.33546/bnj.2434
Martinez, N., Connelly, C. D., Perez, A., & Calero, P. (2021). Self-care: A concept analysis. Int J Nurs Sci, 8(4), 418-425. https://doi.org/10.1016/j.ijnss.2021.08.007
Matheson, F. I., Daoud, N., Hamilton-Wright, S., Borenstein, H., Pedersen, C., & O'Campo, P. (2015). Where Did She Go? The Transformation of Self-Esteem, Self-Identity, and Mental Well-Being among Women Who Have Experienced Intimate Partner Violence. Womens Health Issues, 25(5), 561-569. https://doi.org/10.1016/j.whi.2015.04.006
Mbabazi, P. M. T., Chironda, G., Gapira, E. B., Claude, S. J., Ndahayo, D., & Rajeswaran, L. (2022). Awareness and self-care practice regarding prevention of chronic kidney disease among hypertensive patients at the University Teaching Hospital of Butare, Rwanda. International Journal of Africa Nursing Sciences, 16(December 2021), 100390. https://doi.org/10.1016/j.ijans.2021.100390
Merluzzi, T. V., Philip, E. J., Vachon, D. O., & Heitzmann, C. A. (2011). Assessment of self-efficacy for caregiving: the critical role of self-care in caregiver stress and burden. Palliat Support Care, 9(1), 15-24. https://doi.org/10.1017/S1478951510000507
Morishita, M., Hattori, S., & Miyai, N. (2017). [Ability for Self-Care among Elderly Patients with Diabetes Mellitus and Its Association with Health Locus of Control and Social Support]. Nihon Eiseigaku Zasshi, 72(1), 77-86. https://doi.org/10.1265/jjh.72.77
Munir, N. W., & Solissa, M. D. (2021). Hubungan Self-Efficacy Dengan Self Care Pada Pasien Diabetes Melitus. Jurnal Keperawatan Widya Gantari Indonesia, 5(1). https://doi.org/10.52020/jkwgi.v5i1.1972
Myers, S. B., Sweeney, A. C., Popick, V., Wesley, K., Bordfeld, A., & Fingerhut, R. (2012). Self-care practices and perceived stress levels among psychology graduate students. Training and Education in Professional Psychology, 6(1), 55-66. https://doi.org/10.1037/a0026534
Newell, J. M., & Nelson-Gardell, D. (2014). A Competency-Based Approach to Teaching Professional Self-Care: An Ethical Consideration for Social Work Educators. Journal of Social Work Education, 50(3), 427-439. https://doi.org/10.1080/10437797.2014.917928
O'Brien, E. L., & Sharifian, N. (2020). Managing expectations: How stress, social support, and aging attitudes affect awareness of age-related changes. J Soc Pers Relat, 37(3), 986-1007. https://doi.org/10.1177/0265407519883009
Ogbe, E., Harmon, S., Van den Bergh, R., & Degomme, O. (2020). A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors. PloS one, 15(6), e0235177. https://doi.org/10.1371/journal.pone.0235177
Posluns, K., & Gall, T. L. (2020). Dear Mental Health Practitioners, Take Care of Yourselves: a Literature Review on Self-Care. Int J Adv Couns, 42(1), 1-20. https://doi.org/10.1007/s10447-019-09382-w
Reisenhofer, S. A., Hegarty, K., Valpied, J., Watson, L. F., Davey, M. A., & Taft, A. (2019). Longitudinal Changes in Self-Efficacy, Mental Health, Abuse, and Stages of Change, for Women Fearful of a Partner: Findings From a Primary Care Trial (WEAVE). J Interpers Violence, 34(2), 337-365. https://doi.org/10.1177/0886260516640781
Richards, K. C., Campenni, C. E., & Muse-Burke, J. L. (2010). Self-care and Well-being in Mental Health Professionals: The Mediating Effects of Self-awareness and Mindfulness. Journal of Mental Health Counseling, 32(3), 247-264. https://doi.org/10.17744/mehc.32.3.0n31v88304423806
Sabo, K., & Chin, E. (2021). Self-care needs and practices for the older adult caregiver: An integrative review. Geriatr Nurs, 42(2), 570-581. https://doi.org/10.1016/j.gerinurse.2020.10.013
Santos, R. d. P., Fava, S. M. C. L., & Dázio, E. M. R. (2021). Self-care of elderly people with ostomy by colorectal cancer. Journal of Coloproctology, 39(03), 265-273. https://doi.org/10.1016/j.jcol.2019.01.001
Sari, A. N., & Nawangwulan, D. (2021). The Role of Knowledge, Self-Efficacy, and Social Support in Self-Care Behaviors among Diabetic Patients: A Meta-Analysis. Journal of Health Promotion and Behavior, 6(3), 250–262. https://thejhpb.com/index.php/thejhpb/article/view/337
Sharif Nia, H., Pahlevan Sharif, S., Goudarzian, A. H., Allen, K. A., Jamali, S., & Heydari Gorji, M. A. (2017). The Relationship between Religious Coping and Self-Care Behaviors in Iranian Medical Students. J Relig Health, 56(6), 2109-2117. https://doi.org/10.1007/s10943-017-0376-2
Spiegelman, E. (2018). The rewired life. Hatherleigh Press.
Sullivan, T. P., McPartland, T., Price, C., Cruza-Guet, M. C., & Swan, S. C. (2013). Relationship self-efficacy protects against mental health problems among women in bidirectionally aggressive intimate relationships with men. J Couns Psychol, 60(4), 641-647. https://doi.org/10.1037/a0033406
Tan, F., Oka, P., Dambha-Miller, H., & Tan, N. C. (2021). The association between self-efficacy and self-care in essential hypertension: a systematic review. BMC Fam Pract, 22(1), 44. https://doi.org/10.1186/s12875-021-01391-2
Tharek, Z., Ramli, A. S., Whitford, D. L., Ismail, Z., Mohd Zulkifli, M., Ahmad Sharoni, S. K., Shafie, A. A., & Jayaraman, T. (2018). Relationship between self-efficacy, self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus in the Malaysian primary care setting. BMC Fam Pract, 19(1), 39. https://doi.org/10.1186/s12875-018-0725-6
Thériault, A., Gazzola, N., Isenor, J., & Pascal, L. (2015). Imparting Self-Care Practices to Therapists: What the Experts Recommend. Canadian Journal of Counselling and Psychotherapy, 49(4). https://cjc-rcc.ucalgary.ca/article/view/61031
Tompkins, K. A., Brecht, K., Tucker, B., Neander, L. L., & Swift, J. K. (2016). Who matters most? The contribution of faculty, student-peers, and outside support in predicting graduate student satisfaction. Training and Education in Professional Psychology, 10(2), 102-108. https://doi.org/10.1037/tep0000115
Viskovich, S., & De George-Walker, L. (2019). An investigation of self-care related constructs in undergraduate psychology students: Self-compassion, mindfulness, self-awareness, and integrated self-knowledge. International Journal of Educational Research, 95, 109-117. https://doi.org/10.1016/j.ijer.2019.02.005
Wang, L. Y., Chang, P. C., Shih, F. J., Sun, C. C., & Jeng, C. (2006). Self-care behavior, hope, and social support in Taiwanese patients awaiting heart transplantation. J Psychosom Res, 61(4), 485-491. https://doi.org/10.1016/j.jpsychores.2004.11.013
Warren-Findlow, J., & Prohaska, T. R. (2008). Families, social support, and self-care among older African-American women with chronic illness. Am J Health Promot, 22(5), 342-349. https://doi.org/10.4278/ajhp.22.5.342
Weng, L. C., Dai, Y. T., Huang, H. L., & Chiang, Y. J. (2010). Self-efficacy, self-care behaviours and quality of life of kidney transplant recipients. J Adv Nurs, 66(4), 828-838. https://doi.org/10.1111/j.1365-2648.2009.05243.x
Williams, J., & Jammaers, E. (2020). Care for the self, overcompensation and bodily crafting: The work-life balance of disabled people. Gender, Work & Organization. https://doi.org/10.1111/gwao.12531.
Yu, Y., Zhu, X., Xu, H., Hu, Z., Zhou, W., Zheng, B., & Yin, S. (2020). Prevalence of depression symptoms and its influencing factors among pregnant women in late pregnancy in urban areas of Hengyang City, Hunan Province, China: a cross-sectional study. BMJ Open, 10(9), e038511. https://doi.org/10.1136/bmjopen-2020-038511
Zahniser, E., Rupert, P. A., & Dorociak, K. E. (2017). Self-care in clinical psychology graduate training. Training and Education in Professional Psychology, 11(4), 283-289. https://doi.org/10.1037/tep0000172
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