Bold Voices - April 2014 - (Page 11)

AT THE BEDSIDE Reducing Cross-Contamination From Healthcare Personnel Attire Study recommendations include the following: Appropriate attire should balance appearance, comfort and practicality with its role in crosstransmission of pathogens. * Bare below the elbows (short sleeves, no jewelry, watches or ties) * Easier changing of white coats (more coats per employee and daily laundering with explicit laundering instructions) * Easier removal of white coats before entering patients' environment * Closed-toe shoes, low heels and nonskid footwear * Cleaning shared equipment, such as stethoscopes hospitals were also reviewed, and surveys were submitted by members of The Society for Healthcare Epidemiology of America, Arlington, Va. Patients' perception of HCP attire was also reviewed, the study notes. Being able to identify HCP was one of the most important attributes for attire. In addition to offering these recommendations, the study concludes that "appropriately designed studies are needed to better define the relationship" between HCP attire and healthcareassociated infections. New Biomarker Could Improve Outlook in Esophageal Cancer An RNA-editing enzyme might improve diagnosis, treatment and prognosis of esophageal squamous cell carcinoma. A National University of Singapore study has identified a new biomarker that might improve the diagnosis, treatment and prognosis of esophageal squamous cell carcinoma (ESCC). The biomarker, an RNA-editing enzyme called adenosine deaminase acting on RNA-1 (ADAR1), is significantly overexpressed in ESCC tumors, according to a study in Cancer Research. "Adenosine-to-Inosine RNA Editing Mediated by ADARs in Esophageal Squamous Cell Carcinoma" suggests ADAR1 can be a useful biomarker in detecting disorders leading to ESCC and may provide a key to drug development. The study is the first to observe that the enzyme changes the product of the AZIN1 protein to a form that promotes ESCC development, notes a related article in Oncology Nurse Advisor. "The tumoral overexpression of ADAR1 can be used as an early warning sign of ESCC and halting or reversing the process may block the cells' conversion from normal to malignant," lead researcher Polly Chen of the Cancer Science Institute, National University of Singapore, says in the article. Investigating the link between ADAR1-mediated RNA editing and cancer progression is the initial step in the research, Chen adds. Future studies hope to correct the RNA-editing process by silencing ADAR1 and reinstating a specific hyper-edited or hypo-edited transcript. 11 AACN BOLD VOICES APRIL 2014 T he attire of healthcare personnel (HCP) and its role in crosscontamination requires more study, but new recommendations will help lessen the risk, according to a study in Infection Control & Hospital Epidemiology. "Healthcare Personnel Attire in Non-Operating-Room Settings" states that "recommendations for HCP attire should attempt to balance professional appearance, comfort, and practicality with the potential role of apparel in the cross-transmission of pathogens." The study reviewed the literature related to HCP attire in clinical settings other than the operating room. Policies on HCP attire at seven large teaching

Table of Contents for the Digital Edition of Bold Voices - April 2014

Another Angle
President’s Note (Teaser)
NTI2014: You Have to Come! An Unmatched Experience in the Mile High City
AACN Clinical Priorities 2014: Clinical Topics for Bedside Clinicians
NTI Network: Connect Online to Plan Your Week
Step Forward! Vote in AACN’s Election 2014
You May Inherit Atherosclerosis From Your Mummy
Pain, Agitation, Delirium Guidelines Expand Nurses’ Toolkit
Pediatric Flu Deaths Still a Concern, Expanded Vaccinations Advised
Are Senior-Specific EDs Worth the Investment?
‘Stop Sepsis’ Program Reduces Mortality Rate 40 Percent
Better Relationships Between Nurses, Cleaning Staff Can Improve Patient Care
Patient Outcomes Improve With Surgeon-Led Mortality Reviews
Reducing Cross-Contamination from Healthcare Personnel Attire
New Biomarker Could Improve Outlook in Esophageal Cancer
Long-Term Survival of Kids After Out-of-Hospital Cardiac Arrest
Tight Glycemic Control Could Shorten Children’s Hospital Stay
Web-based Patient Portals Improve Self-Management
In Our Journals
Nurse-Patient Communication Enhanced in AACN CSI Academy Projects
Link Between Shingles and Stroke Risk?
In Utero Exposure to Dyslipidemia Heightens High LDL Risk in Offspring
Palliative Care: Conversations Matter
Improving Communication About Chronic Critical Illness
Certification Capsules
April 16: National Healthcare Decisions Day
New Editorial Consults, Other Publishing Events at NTI 2014
AACN Scholarships for August EBP, Research Methods Institutes
Early-Bird Registration Ends April 3
Attend the Chapter Leadership Development Workshop at NTI 2014
Vote Now!
‘I Am a Critical Care Nurse’
President’s Note

Bold Voices - April 2014