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Abstract

Despite the increasing attention to self-care within the broader social work profession, research on the topic is nominal, particularly within the context of social work education. This cross-sectional, exploratory study surveyed social work field practicum supervisors (N=127) in one Southeastern state regarding their personal and professional self-care practices. Results indicate a significant relationship between two key variables and personal and professional self-care scores, respectively. Specifically, social work field practicum supervisors from for profit entities reported higher self-care practices than those employed at non-profit entities. As well, those with a social work license indicated higher self-care. Both of these variables (e.g., employer type and licensing status) significantly explained self-care. After a review of relevant literature, this paper reports findings, presents pertinent discussion points, and explicates apposite areas for future research.

Keywords: self-care; field practicum supervisors; social work education

Introduction

Within social work, there is a burgeoning self-care movement afoot. Both empirical studies (e.g., Bloomquist, Wood, Friedmeyer-Trainor, & Kim, 2015; Miller, Lianekhammy, Pope, Lee, & Grise-Owens, 2017) and popular media outlets, such as Forbes Magazine (Nazish, 2017) and The Atlantic (Beck, 2015) have issued calls for more attention to self-care. This movement is necessitated by the increasingly complex challenges plaguing social work practitioners. Collectively, research indicates that social work practitioners are at an increased risk for compassion fatigue, secondary/vicarious trauma, and professional burnout (e.g., Dunkley & Whelan, 2006; Miller et al., 2016). Moreover, individuals employed in social service contexts are inordinately impacted by inimical bureaucratic processes and protocols. Indeed, these challenges, and others, indicate that social work practice is becoming increasingly complicated (Grise-Owens, Miller, & Eaves, 2016).

There is ample evidence to suggest that adroit self-care practices can help to assuage many of these problematic employment circumstances (Grise-Owens et al., 2016; Smullens, 2015). Thus, it is imperative that social work students learn and be socialized to engage in adept self-care. Whilst field practicum supervisors are vital to this socialization process, little is known about this key educational constituency group in relation to self-care. An exhaustive literature review of relevant databases revealed no studies in this area. This paper seeks to address this dearth in the literature.

This exploratory study examined the personal and professional self-care practices of social work field practicum supervisors (N=127) in one Southeastern state. In so doing, this paper becomes the first known to the authors to examine this topic. Given the influence of field practicum supervisors on the introductory professional development of social work students (Mosek & Ben-Oz, 2011; Reisch & Jarman-Rohde, 2000), it is imperative that these types of examinations are undertaken. After a brief review of literature, this paper will explicate results from this study, discuss salient discussion points derived from these results, and conclude by delineating apposite areas for future research.

Background

Challenges Facing Social Workers

The challenges facing social workers, and thus making self-care necessary, are multifarious and well-documented. A common challenge is inordinate and complex caseloads (An & Chapman, 2014; Blomberg, Kallio, Kroll, & Saarinen, 2015; Jack & Donnellan, 2010; Marc & Oşvat, 2013; Vyas & Luk, 2011). In addition, many social workers, particularly those working in areas of criminal justice and child welfare, report feeling unsafe in their workspace (Jayaratne, Croxton, & Mattison, 2004; Whitaker, Weismiller & Clark, 2006). Other challenges include: lack of access to adequate supervision (Calitz, Roux, & Strydom, 2014), perceived salary inadequacy or insecurity (An & Chapman, 2014; Calitz et al., 2014; Marc & Oşvat, 2013; Vyas & Luk, 2011), professional role ambiguity or conflict (Blomberg et al., 2015; Marc & Oşvat, 2013; Savaya, 2014; Siefert, Jayaratne, & Chess, 1991), verbal abuse (Jayaratne et al., 2004), and a poor public perception associated with social work (Collings & Murray, 1996). Indeed, as Vyas and Luk (2011) aptly summarized, “social workers are under great pressure in the workplace” (p. 835).

The consequences of these challenges are also well-documented. Several authors (e.g., Johnson et al., 2005; Savaya, 2014) have postulated that social work is among the most stressful professions. Unfortunately, vicarious/secondary trauma is commonplace. Ting, Jacobson, and Sanders (2011) asserted that exposure to clients’ traumatic life experiences can have negative effects on social workers. Likewise, workplace stressors, such as those previously referenced, can lead to high rates of burnout (Coffey, Dugdill, & Tattersall, 2004; Newell & MacNeil, 2010), low job satisfaction, and subsequently, high employee turnover (Calitz et al., 2014). Deleterious employment circumstances can also negatively impact social workers’ mental health and well-being (Marc & Oşvat, 2013; Vyas & Luk, 2011) and limit their ability to engage in critical self-reflection and inspection (Jack & Donnellan, 2010). These consequences can impact an individual’s professional and personal life alike (Vyas & Luk, 2011).

Self-Care as a Response

Self-care, particularly for social workers, is generally regarded as one way to redress problematic employment circumstances (Bent-Goodley, 2018). Historically, self-care has been viewed through a medical prism, whereby “patients” engage in certain behaviors to allay the negative impacts of medical ailments (Valentine, 1970; World Health Organization, 1983; World Self-Medication Industry, 2010). However, contemporary conceptions of self-care have evolved to include more holistic perspectives that encourage those offering services to engage in self-care. Specifically, self-care is increasingly viewed as a necessity for skillful social work practice (Grise-Owens at al., 2016). According to Lee and Miller (2013), self-care is the “engagement in behaviors that support health and well-being” (p. 96). Conceptualizations of self-care typically reflect three primary overarching domains: physical activities (Jordan, 2010), mental activities (Richards, Campenni, & Muse-Burke, 2010), and organizational activities (Dombo & Gray, 2013). Several authors have also discussed the spiritual elements of self-care (e.g., Dombo & Gray, 2013). Jordan (2010) defined self-care as including “practicing a healthy lifestyle, such as adequate sleep, a well-balanced diet with regular meals, exercise, and rest” as well as “recreational activities such as reading, sports, exercise, and so forth” (pp. 231-232). Perhaps, given the subjective nature of self-care, Miller et al. (2016) offered the most applicable explanation by asserting that self-care is most appropriately defined by the individuals choosing to engage in it.

To be clear, the social work literature, in general, is in the nascent stages of exploring self-care among practitioner groups (Bloomquist et al., 2015; Cox & Steiner, 2013; Grise-Owens et al., 2016; Lee & Miller, 2013; Miller, Donohue-Dioh, Niu, & Shalash, 2018; Smullens, 2015). However, there is evidence to support the notion that self-care can be impactful is assuaging the consequences of inimical employment circumstances.

For instance, Salloum, Kondrat, Johnco, and Olson (2015) asserted that child welfare workers who engaged in healthy self-care practices reduced the risk of burnout and had increased levels of compassion satisfaction, when compared to others. Cohen and Gagin (2005) made similar assertions. Sansó et al. (2015) suggested that self-care practices may increase efficacy associated with professional practice, while Asuero et al. (2014) asserted that those engaging in self-care may exhibit increased perceptions of professionalism. Several other authors have made similar assertions about the potential for self-care to assuage employment-related issues (Bush, 2015; Cleantis, 2017; Lee & Miller, 2013; Miller et al., 2017; Skinner, 2015).

Self-Care and Social Work Field Education

As discussed, the literature examining self-care within the broader social work profession is nominal; the literature examining the concept within the context of social work education is even more limited. In discussing this paucity, Moore, Bledsoe, Perry, and Robinson (2011) postulated that the exigent literature reveals “scant” research about self-care within the context of social work education (p. 545). Grise-Owens, Miller, Escobar-Ratliff, and George (2017) described the literature about self-care and social work education as “sparse” (p. 1). Bloomquist and colleagues (2015) went so far as to declare that social work educational programs “do not teach social workers how to effectively engage in self-care practice” (p. 292). Other authors have made similar assertions (e.g., Bonifas & Napoli, 2014; Greene, Mullins, Baggett, & Cherry, 2017; Newell & Nelson-Gardell, 2014; Pyles & Adam, 2016).

Implications derived from the literature are clear. Whilst the promise of self-care in addressing problematic employment characteristics is clear, and despite calls for additional literature on the topic, research about self-care is minimal. Specifically, studies that examine self-care within social work education are limited. Given the impact that field practicum supervisors have on social work students, and the responsibility supervisors have in educating students about social work practice, it is imperative that this critical issue be examined. As indicated, this is the first known study to investigate self-care among this important education stakeholder group.

Study Aims

The overarching aim of this exploratory study was to examine the self-care practices of field practicum supervisors in one Southeastern state. With the overarching aim in mind, this study was guided by three distinct research queries (RQs):

RQ1. How often do field practicum supervisors engage in personal and professional self-care practices?

RQ2. Are there differences in self-care practices by demographic and professional characteristics, respectively?

RQ3. What demographic and professional variables can explain personal and professional self-care practices, respectively?

Methodology

Protocol

This research effort was part of a broader effort that examined aspects of wellness among social work education stakeholders. This study employed a cross-sectional research design. An online survey invitation was administered to collect primary data relevant to the aims of this study. All data were collected and managed via Survey Monkey™. Participants who completed the survey were offered a chance to enter a drawing for a $500 cash card. The incentive survey was disconnected from the primary survey. Thus, participant responses were anonymous. All data were collected during the first quarter of 2017.

Sampling Procedure

To recruit participants for this study, a nonprobability (snowball) sampling procedure was utilized. An invitation to the online survey was sent to field supervisors in the Southeastern state in which this study occurred. Potential participants were asked to forward the invitation to other potential participants, thus calculating a response rate is not possible. All participants identified as a current field practicum supervisor (employed in an agency/organization) and all reported having supervised at least one student within the last 12 months. All protocols and procedures used for this study were approved by a university Institutional Review Board (IRB).

Instrument

To collect primary data from participants in this study, researchers utilized an instrument consisting of two overarching components. First, participants provided demographic information (race, age, etc.) and general professional information (time as a field practicum supervisor, practice setting, etc.) in response to items designed to collect primary data related to these variables.

Second, the researchers employed the Self-Care Practices Scale (SCPS) referenced by Lee, Bride, and Miller (2016). SCPS is 38-item instrument designed to assess the frequency of personal and professional self-care, respectively. The measure uses a five-point Likert scale ranging from 0 (never) to 4 (very often) and produces three scores: a summative personal self-care score (0-64), a summative professional self-care score (0-88), and a total score comprised of the sum of personal and professional self-care scores (0-152). For all scoring, the higher the score, the more frequently the respondent engages in self-care practices. “I engage in physical activities” is an example of an item for the personal self-care scale. “I acknowledge my successes at work” is an example of an item for the professional self-care scale. For this study, measures for personal (Cronbach’s alpha = .81) and professional (Cronbach’s alpha = .77) care displayed high internal consistency.

Data Screening and Analysis

Once the survey was closed, all data were downloaded from Survey Monkey™ into IBM SPSS Version 23.0 (SPSS, Inc., Chicago, IL). Participant data were screened, diagnosed, and edited prior to any analysis according to procedures outlined by Van Den Broeck, Cunningham, Eeckels, and Herbst (2005). A sample of 127 responses was obtained and used for analyses related to key variables under investigation.

Results

Respondents

A total of 127 field supervisors participated in this study. The typical participant identified as female, married, and aged 41.44 (SD=13.30) years. Overall, participants reported working an average of 39.08 (SD=10.52) hours per week and practicing social work for 13.30 (SD=9.72) years. Participants had served as field practicum supervisors for 8.6 (SD=7.1) years and reported supervising at least two students.

Other demographic and professional data are included in Table 1.

Table 1 Demographic Characteristics of Supervising Social Workers in the Child Welfare Field

N

%

Gender

Male

17

13.4

Female

108

85.0

Other

1

0.8

Race/Ethnic Background

White non-Hispanic

103

81.1

Black non-Hispanic

17

13.4

Other

7

5.5

Current Relationship Status

Married

83

65.9

Partnered

7

5.6

Widowed

4

3.2

Divorced

12

9.5

Never married

20

15.9

Highest Academic Degree

Bachelor’s

13

10.2

Master’s

106

83.5

Other (Doctorate or First Professional Degree)

8

6.3

Employer Type

Non-Profit Setting

82

66.7

For Profit Setting

40

32.5

Employer Status

Public (e.g., Governmental)

61

49.6

Private

62

50.4

Members of Professional Organization(s)?

Yes

40

31.5

No

87

68.5

Health Status

Excellent

2

1.6

Very Good

123

96.9

Good

1

0.8

Poor

1

0.8

Current Financial Situation

I cannot make ends meet.

5

3.9

I have just enough money to make ends meet.

37

29.1

I have enough money, with a little left over.

61

48.0

I always have money left over.

24

18.9

Total Gross Annual Household Income

Less than $29,999

6

4.7

$30,000 – $59,999

39

31.6

$60,000 – $99,999

47

38.1

$100,000 – $199,999

35

27.6

Current License Status

Currently Have a Social Work License

109

85.8

Have Had a Social Work License

1

0.8

Never Had a Social Work License

17

13.4

Self-Care Practices

Participant personal, professional, and overall self-care scores are included in Table 2.

Table 2 Self-Care Scores for Field Practicum Supervisors

Descriptives

N

M

SD

Mdn

Personal Scale Score

127

62.87

7.99

63.00

Professional Self-Care Score

127

83.67

10.51

83.00

Total Self-Care Score

127

108.54

17.38

109.00

Due to the exploratory nature of the study, one-way analyses of variances (ANOVAs) or independent sample t-tests were conducted to investigate differences between key variables on the dependent variables personal and professional self-care scores. In addition, due to the unequal sample sizes under certain categorical variables, non-parametric alternatives were also performed when necessary to compare the data distribution across the groups. No significant differences in personal or professional self-care scores were detected, except on two variables: Employer Type and Licensing Status. Table 3 contains a summary of results for the group comparison analyses conducted.

Table 3 Group Comparison Results for Supervising Social Workers in the Child Welfare Field

Personal Self-Care

df

t/Z

p

SE

CI 95%

Organization Type

120

-2.209*

0.029

1.468

[-6.15, -0.34]

Current License Type

120

-1.473

0.141

Professional Self-Care

df

t/Z

p

SE

CI 95%

Organization Type

120

-2.505*

0.014

1.992

[-8.93, -1.05]

Current License Type

120

-2.762**

0.006

*p<.05
**p<.01

Current license type was self-reported as being “I currently have a social work license,” “I have had a social work license,” or “I have never held a social work license.” Only a very small number of respondents noted “I have had a social work license” (n=1); thus, the case was filtered out from the analysis to better compare the other two response types. Due to the significantly unequal sample sizes, a Mann-Whitney U Test, the nonparametric alternative of the independent t-test, was used. A between-subjects effect was found comparing mean professional self-care score among respondents of different licensure status, Z(120)=-2.76, p<.01. The descriptive statistics indicated that respondents who were currently licensed (M=84.78, SD=8.76) had a significantly higher professional self-care score than those who had never held a social work license (M=76.00, SD=16.61).

Organization type of employers was self-reported as “for profit” or “non-profit.” An independent t-test with equal variances assumed was used to compare mean personal self-care scores between the different organization types and was found to be statistically significant, t(120)=-2.21, p<.05. The descriptive statistics revealed a significantly higher mean personal self-care score for those from for profit organizations (M=65.15, SD=6.95) than those from non-profit organizations (M=61.91, SD=7.91). The t-test comparing mean professional self-score for respondents with different organization types yielded a similar pattern of significant results, t(120)=-2.51, p<.05. The descriptive statistics indicated that the mean professional self-care score for those from for profit organizations (M=87.13, SD=10.10) were significantly higher than mean scores of those from non-profit organizations (M=82.13, SD=10.44). Among continuous variables, A Pearson correlation revealed a significant positive relationship between age and professional self-care (r=.222; p<.05).

Multivariate Analysis

To explore the effects key factors that may help to explain aspects of self-care practices overall, a multiple regression analysis was conducted on personal and professional self-care scores. As discussed, total possible self-care scores could range from zero to 152, with higher scores denoting greater engagement in self-care practices. Age, organization type, and current license type were included as factors (e.g., independent variables) in the model. Since two out of the three factors were dichotomous variables, they were dummy coded as level “0” or level “1” for regression analyses. According to Alkharusi (2012), the unequal sample sizes (based on the two dichotomous factors) had “no impact on the dummy coding method” (p. 208); thus the researchers decided to perform ordinary least squares regression procedures.

This model was statistically significant for personal self-care, F(3, 106)=4.11, p=.008, R²=.107, adjusted R²=.081. Results revealed that only two variables significantly explained personal self-care: organization type (p<.05) and current license status (p<.05). Working for a for profit organization seemed to increase personal self-care scores by 4.0 points rather than being employed by a non-profit. Currently holding a social work license tended to increase personal self-care scores by 5.6 points compared to those who have never held a social work license, controlling for all other variables.

In terms of professional self-care, this model was also statistically significant, F(3, 106)=5.37, p=.002, R²=.135, adjusted R²=.110. The findings also showed that only two indicators significantly explained aspects of professional self-care: organization type (p<.05) and current license status (p<.05). Working for a for profit organization seemed to increase professional self-care scores by 4.3 points rather than being employed by a non-profit. Having a current social work license seemed to increase professional self-care scores by 5.1 points compared to those who have never held a social work license, controlling for all other variables. See Table 4 for the results of the regression analysis.

Table 4 Multiple Regression Explaining Personal and Professional Self-Care Practices

Model

B

SE

p

Age (Years)

0.090(0.168b)

0.067(0.087)

0.359(0.084)

Organization Type

.187(0.156)

1.575(2.048)

0.057(0.106)

Current License Statusa

-0.205(-0.226)

1.296(1.686)

0.042*(0.023*)

*p< .05
**p< .01
aCurrent License Status refers to the two levels: I currently have a social work license. vs. I have never held a social work license.
bThe statistical information within parentheses relates to the scores on professional self-care practices.

Discussion

The purpose of this exploratory study was to examine the personal and professional self-care practices of field practicum supervisors in one Southeastern state. Given the increased attention to self-care in the broader profession, it is imperative that studies examine this important concept among educational stakeholders, in general, and among field practicum supervisors, specifically. The following paragraphs briefly outline salient discussion points derived from the findings posited above. For clarity, this discussion is structured in a way so as to explicitly answer the previously stated research queries.

First, overall, data suggest that there is room for improvement related to the self-care practices of field practicum supervisors in this study. Mean scores for personal and professional self-care were 62.87 and 83.67, respectively. The mean item response for the entire scale was 2.85, indicating that participants only “Sometimes” engage in self-care practices. The somewhat subjective nature of the term “sometimes” makes it difficult to generalize a definition. However, data from the current study certainly suggest that field practicum supervisors in this sample could be engaging in self-care, both personally and professionally, more often.

Given the documented complexities associated with social work practice, perhaps these findings, while somewhat troubling, are not surprising. For instance, Bloomquist and colleagues (2015) concluded that social workers in their sample engaged in self-care on a “limited basis” (p. 292). Similar findings have been reached about social workers in child welfare (Miller et al., 2018) and clinicians (Pope, Giger, Lee, & Ely, 2017). Indeed, these findings seem congruent with previous studies.

Second, because of the exploratory nature of this study, the researchers examined group differences among key demographic and professional categorical variables, two of which yielded significant findings. First, findings suggest that individuals who are currently licensed engaged in significantly more professional self-care practices than those who have never held a license. Pragmatically, this finding may be attributable to several factors associated with licensing. For example, individuals with a social work license often have to partake in additional training/continuing education. This type of professional development can be a vital element necessary for self-care (Cox & Steiner, 2013), particularly in the professional domain. The fact that there was no significant difference for personal self-care provides context for this assertion.

In addition to licensing status, data suggest that field practicum supervisors employed at for profit agencies engage in significantly higher personal and professional self-care practices than those employed at non-profit agencies. This finding sheds light on an interesting dynamic related to the intersection of employer type and self-care. This finding certainly needs further investigation.

In the book, The Happy, Healthy Non-Profit, Kanter and Sherman (2017) asserted that passion associated with the agency’s mission may overshadow the importance of self-care. And, for profit entities may have access to more resources that can be expended to support organizational wellness, in general, and employee self-care, specifically. Findings from this study suggest that non-profits may need to pay more attention to self-care for field practicum supervisors employed in these organizations.

Lastly, as can be surmised from the discussion posited above, Employer Type and Current Licensing Status significantly explained aspects of personal and professional self-care, respectively. These findings may be associated with the aforementioned reasons that these variables may have an impact of self-care practices for field practicum supervisors.

Limitations

While this study makes a unique contribution to the current literature associated with social work field education, this effort must be understood within the context of several limitations. Data was collected from field supervisors at CSWE-accredited institutions in one Southeastern state. As well, participants were overwhelmingly female and White. Adding additional participants from other states, or a more diverse sample, may have impacted findings. Though the sample size was appropriate for an exploratory study of this type, a larger sample may have yielded different data for the variables under investigation. To encourage participation, respondents were not asked with which institution they were associated. Lastly, because the research invitation came from university researchers, a social desirability bias may be evident in the data. Given these limitations, and others, broad generalizations related to this study should be considered critically and cautiously.

Implications

Indeed, the field experience is a seminal component of social work education and students’ matriculation into the profession. As such, it is imperative that key practice issues, such as self-care, be examined within the context of field. Data from this study offers several implications associated with field practicum supervisors. The following paragraphs outline but a few of these implications.

Veritably, field practicum supervisors serve an integral function of socializing students to professional social work practice. This notion is well-documented in the literature (e.g., Miller, Deck, Conley, & Bode, 2017; Noble & King, 1981; Reisch & Jarman-Rohde, 2000; Urbanowski & Dwyer, 1988). Given this influence, data from the current study may be a cause for concern among field practicum constituents. Because data suggest that practicum supervisors are not engaging in high levels of self-care, it may be that appropriate self-care is not being modeled for students. As well, there may be concern for their ability to effectively provide students adroit supervision as it relates to their field practicum experience.

Minimally, findings from this study suggest that there is room for improvement as it relates to self-care among field practicum supervisors. Indeed, social work educational programs can play a role in helping supervisors more adeptly engage in self-care. For instance, field faculty may provide information about the importance of self-care or provide self-care resources for field practicum supervisors. Annual field practicum orientation may be a good venue for proffering this type of information. As well, schools may look to provide training about engaging in self-care or support field practicum supervisors in establishing self-care accountability groups (see Grise-Owens et al., 2016 for self-care planning activities related to these types of groups). These practices may not only help practicum supervisors engage in better self-care practices, but in turn, may allow students to observe, mimic, and garner strategies for engaging in self-care as they matriculate into the profession.

Additionally, social work programs may encourage field practicum supervisors to include self-care as part of student learning contracts. This will communicate value, importance, and also keep self-care in the forefront of field practicum supervisors’ minds.

On a more macro level, organizations that accept field placements should ensure that the supervisors tasked with overseeing these experiences are engaging in adequate self-care. Indubitably, as indicated in the previously mentioned literature, being a social worker can be challenging. And frankly, taking on a student as a field practicum student may compound these challenges. As such, it is imperative that organizations foster the development of sustainable self-care practices for employees, in general, and field practicum supervisors, specifically. This aim may be achieved by offering trainings about self-care, facilitating adroit self-care practice, and/or via the development and implementation of broad-based organizational wellness initiatives (Miller et al., 2016). Data from the current study suggest that these types of efforts may be especially impactful for those employed in non-profit settings.

Research implications abound. For instance, little is known about the impact that supervising students in a field practicum may have on self-care practices of the supervisors themselves. Future research should more explicitly examine this issue. Another area fertile for investigation is the impact that self-care trainings and/or interventions may have on field practicum supervisors. No matter the methodology or query examined, it is pertinent that self-care among practicum supervisors be examined, documented, and disseminated.

Conclusion

This paper examined the self-care practices of field practicum supervisors. As such, this narrative addresses a significant dearth in the social work literature, more broadly, and the field education literature, specifically. In general, this paper contributes to a better understanding of self-care among this group and sets forth pragmatic implications for addressing self-care needs. Given the impact that practicum supervisors have on students, attention to this area is necessary. After all, the wellbeing of the current and future social work workforce depends on it.

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