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Is Silence a Sustainable Act of Self-Preservation for Asian Americans?
Full text linkThis paper is a combination of self-reflection and academic writing. It begins with a description of the event that inspired this paper. This event is an example of the author\u27s Asian American identity development journey. In this paper, the author explores the effects of silence on the lifestyle that Asian American college students can create for themselves after college and what Student Affairs professionals can do to best support these students. To do this, she draws on interviews with student affairs professionals, Yosso\u27s (2205) theory on community cultural wealth, and Strayhorn\u27s (2019) theory on Sense of Belonging
Considering the Implications of Assessment Metrics for Practitioners
Full text linkThis article examines the how the datafication of higher education impacts student affairs practitioners. I review relevant literature over the past five years to show how the shift towards a reliance on data is implicated by universities’ need to be legitimated, both internally and externally. While assessment and the use of data promises enhanced student learning and engagement, is it aligned with student development in practice? I discuss the implications of this shift towards a reliance on data and suggest ways student affairs practitioners can approach assessment in their work
Refreshing Reflections
Full text linkThis paper was developed from an interview with a Black, queer senior student affairs practitioner whom of which shared their own understandings of student development and how their experiences inform the intricacies of student support. This piece was particularly profound for me, for it was completed in the first quarter of the SDA program, which greatly expanded and deepened my understandings of student-centered work and student affairs as a career. The interview provided an abundance of advice, recommendations, and perspectives of the ever-evolving nature of student trends and needs
Breaking Bias at Birth: Improving Maternal Outcomes for Black and Latina Birthing People
No full textAssessing the Impact of Provider Knowledge Through a Pelvic Floor Health Assessment Tool
No full textIntroduction Pelvic Floor Dysfunction (PFD) is a prevalent yet under-addressed concern affecting individuals throughout the course of their lifetime, including within pregnancy, postpartum, and menopause. Health care providers are responsible for providing up to-date education and resources to best support their patients facing PFD. Introducing an effective assessment strategy can prompt discussions regarding pelvic floor health (PFH).
Methods We conducted a primary data analysis of pre- and post- assessment tool surveys submitted by voluntary participants of Certified Nurse-Midwives (CNM) in a PFD assessment module. Pre- and post- test surveys were performed using Likert-scale scoring statements from April 2025 to May 2025. Data was analyzed using a paired t-test to evaluate pre- to post- assessment tool changes in provider knowledge and confidence in assessing PFD.
Outcomes Across a series of 10 Likert-scale statements assessing provider knowledge and confidence, six Certified Nurse-Midwives participated. Results showed that the mean score increased from 39.67 to 43.83 out of 50 total possible points. Therefore, provider knowledge and confidence increased by 10.49%. The p-value of 0.367 is greater than a statistically significant score of P \u3c 0.05.
Discussion Through data analysis of the paired t-test, there was no statistically significant difference between the pre and post surveys of CNMs after reviewing the assessment tool module. Despite a lack of statistical significance, the findings suggest that brief, targeted education can enhance provider knowledge and confidence in understanding how to assess and know when to create referrals for PFD amongst wellness/annual, prenatal, postpartum, and menopause visits. Incorporating routine discussion within patient visits may address current knowledge gaps and empower providers to better educate and support patients, thus potentially reducing the burden of PFD
Stellate Ganglion Block Effectiveness for PTSD, Anxiety, and Depression in Psychiatric Outpatients: A Retrospective Analysis
No full textThe prevalences of Post-Traumatic Stress Disorder (PTSD), generalized anxiety disorder (GAD), and major depressive disorder (MDD) have risen significantly in recent years, particularly following the COVID-19 pandemic. Many individuals remain symptomatic despite conventional treatments, highlighting the need for novel, integrative interventions. Stellate Ganglion Block (SGB), a procedure targeting the cervical sympathetic chain to modulate the autonomic nervous system, has emerged as a promising therapy for treatment-resistant psychiatric symptoms. Evaluating data from the PTSD Checklist for DSM-5 (PCL-5), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9), this retrospective study examined the clinical outcomes of PTSD, anxiety, and depression symptoms from SGB treatment in 78 participants at the AIMS Institute, an outpatient integrative medical clinic in Seattle, Washington. There were statistically and clinically significant reductions in metric scores for PTSD (mean Δ = -17.05, p \u3c .001), anxiety (mean Δ = -4.54, p \u3c .001), and depression (mean Δ = -3.86, p \u3c .001) symptoms in participants who received at least two SGB treatments. Moreover, these observed changes had large effect sizes. Even in participants without formal diagnoses, improvements within all three symptoms were evident, suggesting SGB may benefit individuals with subthreshold symptoms. These findings support the integration of SGB as an adjunctive intervention for trauma-related disorders. Future studies are warranted to examine long-term effectiveness, predictors of treatment response, and health equity implications
Understanding Perceptions and Other Barriers to the Utilization of Guideline-Directed Medical Therapy in Patients with Heart Failure with Reduced Ejection Fraction: A Provider Needs Assessment
No full textBackground. Guideline-directed medical therapy (GDMT) is fundamental to the management of heart failure with reduced ejection fraction (HFrEF), yet its utilization remains suboptimal in clinical practice. Despite strong evidence supporting GDMT’s ability to improve survival and reduce hospitalizations, significant underutilization of these medications persist due to patient, provider, and system-level barriers.
Purpose. This project aimed to assess provider knowledge, perceptions, and barriers to prescribing GDMT for HFrEF within a single regional healthcare system. Data from this project will be used to inform targeted quality improvement strategies to enhance GDMT utilization and, ultimately, patient outcomes.
Methods. A cross-sectional survey was distributed to prescriptive providers-including physicians, nurse practitioners, and physician assistants across two acute care hospitals in the Pacific Northwest region facilities in Washington State. The survey examined knowledge of, attitudes toward, and perceived barriers to GDMT utilization. Quantitative analysis using descriptive statistics identified trends and barriers in provider responses.
Results. Nine providers completed the survey, including hospitalists, cardiologists, and advanced practice providers. While 89% of respondents rated themselves as highly familiar with GDMT, most estimated that only 10-50% of eligible inpatients received all four recommended drug classes. Major barriers included anticipated medication side effects, high costs, renal dysfunction, hypotension, and patient complexity. Provider-level obstacles such as unclear role responsibilities and limited familiarity with certain GDMT drug classes further contributed to underutilization of therapy and suboptimal intensification. System-level challenges included resource limitations and poor coordination between care teams.
Conclusion. Despite favorable provider attitudes and knowledge, systemic barriers hinder optimal GDMT prescribing. Targeted interventions-such as structured protocols, ongoing provider education, and decision support tools integrated into electronic health records-may be useful to improve GDMT adoption. Addressing these factors is crucial for closing care gaps and improving outcomes for patients with HFrEF. Findings from this needs assessment will guide future initiatives to overcome barriers and advance heart failure management within the healthcare system