Skip to main content
Log in

The Relationship Between the Supervisory Working Alliance and Student Self-Efficacy in Genetic Counseling Training

  • Original Research
  • Published:
Journal of Genetic Counseling

Abstract

The purpose of this study was to determine if a genetic counseling student’s perception of the supervisory working alliance (SWA) is related to their self-efficacy on select clinical practice-based competencies (PBCs), evaluating the second tenet of the Reciprocal Engagement Model of Supervision (REM-S) from a student perspective. Second year genetic counseling students (N = 168) completed a survey containing demographic and clinical rotation experience questions, the Supervisory Working Alliance Inventory-Trainee Form (SWAI-T), and the Genetic Counseling Self-Efficacy Scale (GCSES). Overall, the SWAI-T was significantly associated with all factors of the GCSES. Additionally, the relationship between the SWAI-T and self-efficacy was specific to those who had only one supervisor, thus highlighting the SWA may be most important under these circumstances. This serves as an important step in being able to guide supervisors toward effective methods in supervision, which may include encouraging supervisors to build a strong relationship with their supervisee in order to help strengthen the student’s confidence in their clinical skills.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Accreditation Council for Genetic Counseling. (2013). Practice-based competencies for genetic counselors Retrieved from http://www.gceducation.org/Documents/Old%20Documents/ACGC%20Practice%20Based%20Competencies_13-Final-Web.pdf

  • Atzinger, C. L., Lewis, K., Martin, L. J., Yager, G., Ramstetter, C., & Wusik, K. (2014). The impact of supervision training on genetic counselor supervisory identity development. Journal of Genetic Counseling, 23(6).

    Article  Google Scholar 

  • Atzinger, C. L., He, H., & Wusik, K. (2016). Measuring the effectiveness of a genetic counseling supervision training conference. Journal of Genetic Counseling, 25(4), 698–707.

    Article  Google Scholar 

  • Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122–147.

    Article  Google Scholar 

  • Bandura, A. (1997). Self-efficacy: the exercise of control. New York: Freeman.

    Google Scholar 

  • Caldwell, S., Wusik, K., He, H., Yager, G., & Atzinger, C. (2018). Development and validation of the genetic counseling self-efficacy scale (GCSES). Journal of Genetic Counseling. Epub ahead of print.

    Article  Google Scholar 

  • Efstation, J. F., Patton, M. J., & Kardash, C. M. (1990). Measuring the working alliance in counselor supervision. Journal of Counseling Psychology, 37(3), 322–329.

    Article  Google Scholar 

  • Fiddler, M. B., Fine, B. A., & Baker, D. L. (1996). A case-based approach to the development of practice-based competencies for accreditation of and training in graduate programs in genetic counseling. Journal of Genetic Counseling, 5(3), 105–112.

    Article  CAS  Google Scholar 

  • Finley, S. L., McCarthy Veach, P., MacFarlane, I. M., LeRoy, B. S., & Callanan, N. (2015). Genetic counseling supervisors’ self-efficacy for select clinical supervision competencies. Journal of Genetic Counseling.

  • Hendrickson, S. M., McCarthy Veach, P., & LeRoy, B. S. (2002). A qualitative investigation of student and supervisor perceptions of live supervision in genetic counseling. Journal of Genetic Counseling, 11(1), 25–49.

    Article  Google Scholar 

  • Horrocks, S., and Smaby, M. H. (2006). The supervisory relationship: its impact on trainee personal and skills development. Compelling Perspectives on Counselling: VISTAS, 173–176.

  • Ladany, N., Ellis, M. V., & Friedlander, M. L. (1999). The supervisory working alliance, trainee self-efficacy, and satisfaction. Journal of Counseling & Development, 77(4), 447–455.

    Article  Google Scholar 

  • Masunga, A., Wusik, K., He, H., Yager, G., & Atzinger, C. (2014). Barriers impacting the utilization of supervision techniques in genetic counseling. Journal of Genetic Counseling, 23(6), 992–1001.

    Article  Google Scholar 

  • Melchert, T. P., Hays, V. L., Wiljanen, L. M., & Kolocek, A. K. (1996). Testing models of counselor development with a measure of counseling self-efficacy. Journal of Counseling & Development, 74(6), 640–644.

    Article  Google Scholar 

  • Tang, M., Addison, K. D., LaSure-Bryant, D., Norman, R., O'Connell, W., & Stewart Sicking, J. A. (2004). Factors that influence self-efficacy of counseling students: an exploratory study. Counselor Education & Supervision, 44(1), 70–80.

    Article  Google Scholar 

  • Thurstone, L. L. (1935). The vectors of mind. Chicago: University of Chicago Press. (pp. 226–231).

  • Wherley, C., McCarthy Veach, P., Martyr, M. A., & LeRoy, B. S. (2015). Form follows function: a model for clinical supervision of genetic counseling students. Journal of Genetic Counseling, 24(5), 702–716.

    Article  Google Scholar 

Download references

Funding

This work has been supported by the Jane Engelberg Memorial Fellowship Student Research Award, provided by the Engelberg Foundation to the National Society of Genetic Counselors, Inc. Partial funding for this project was provided by the National Society of Genetic Counselors Education Special Interest Group. This work was conducted to fulfill part of a degree requirement of the first author.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Carrie Atzinger.

Ethics declarations

Conflict of Interest

Sarah Caldwell, Katie Wusik, Hua He, Geoffrey Yager, and Carrie Atzinger declare that they have no conflict of interest.

Human Studies and Informed Consent

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study included a cover letter outlining all the elements of informed consent and informing participants that by completing the survey they were agreeing to participate in the study.

Animal Studies

This article does not contain any studies with animals performed by any of the authors.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Caldwell, S., Wusik, K., He, H. et al. The Relationship Between the Supervisory Working Alliance and Student Self-Efficacy in Genetic Counseling Training. J Genet Counsel 27, 1506–1514 (2018). https://doi.org/10.1007/s10897-018-0263-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10897-018-0263-3

Keywords

Navigation