Self-Care and Sense of Coherence: A Salutogenic Model for Health and Care in Nursing Education

Natura Colomer-Pérez, Joan J. Paredes-Carbonell, Carmen Sarabia-Cobo, Sergio A. Useche and Vicente Gea-Caballero
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Natura Colomer-Pérez: Department of Nursing, Faculty of Nursing and Chiropody, Frailty Research Organized Group (FROG), Universidad de Valencia, 46003 Valencia, Spain
Joan J. Paredes-Carbonell: Public Health Department, Conselleria Sanitat Universal i Salut Pública, GVA, Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46010 Valencia, Spain
Carmen Sarabia-Cobo: Faculty of Nursing, Nursing Research Group (IDIVAL), Universidad de Cantabria, 39008 Cantabria, Spain
Sergio A. Useche: Faculty of Psychology, Universidad de Valencia, 46003 Valencia, Spain
Vicente Gea-Caballero: Faculty of Health Sciences, International University of Valencia, 46002 Valencia, Spain

IJERPH, 2022, vol. 19, issue 15, 1-14

Abstract: Background: Effective advocacy on self-care and the enhancement of a sense of coherence among nurses don’t only benefit control over one’s health and personal performance, but it may have a direct impact on clinical care and on the entire healing system. In this regard, nursing curricula grounded on a salutogenic model of health (SMH) operate with strategies to engage students in self-care and contribute to improving their mental health and wellbeing. The aim of this study was to explore the relationships between self-care agency and a sense of coherence as dependent variables and the age and self-reported academic performance as independent variables in nursing assistant students. Methods: For this cross-sectional study, data were collected from a full sample of 921 Certified Nursing Assistant (CNA) Spanish students. A self-administered questionnaire, including sociodemographic variables, the ‘appraisal of self-care agency’ (ASA), and the ‘sense of coherence’ (SOC) constructs, was administered. Results: Older participants presented significantly stronger values of both constructs. Apart from a significant and positive correlation between ASAS and SOC, ANOVA analyses indicate significant differences in terms of academic performance according to different ASAS and SOC degrees. Conclusions: The findings of this study endorse the assumption that there is a consistent relationship between ASA and SOC constructs that might, indeed, have a potential effect on students’ academic performance. In practical terms, it seems relevant to try to recognise the students’ self-care agency and the sense of coherence as forceful predictive variables of mental health and wellbeing, in addition to academic success as a strength implied in the future career achievement.

Keywords: self-care; sense of coherence; salutogenic model of health; mental health; nurse; certified nursing assistant; students (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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