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K Schroeter

Publications and source records attributed to K Schroeter.

13 recordsLinked to original sources

Ion chemistry of anti-o,o dibenzene.

The ion chemistry of anti-o,o'-dibenzene (1) was examined in the gaseous and the condensed phase. From a series of comparative ion cyclotron resonance (ICR) mass spectrometry experiments which involved the interaction of Cu+ with 1, benzene, or mixtures of both, it was demonstrated that 1 can be brought into the gas phase as an intact molecule under the experimental conditions employed. The molecular ions, formally 1*+ and 1*- , were investigated with a four-sector mass spectrometer in metastable-ion decay, collisional activation, charge reversal, and neutralization-reionization experiments. Surprisingly, the expected retrocyclization to yield two benzene molecules was not dominant for the long-lived molecular ions; however, other fragmentations, such as methyl and hydrogen losses, prevailed. In contrast, matrix ionization of 1 in freon (77 K) by gamma-radiation or in argon (12 K) by X-irradiation leads to quantitative retrocyclization to the cationic dimer of benzene, 2*+. Theoretical modeling of the potential-energy surface for the retrocyclization shows that only a small, if any, activation barrier is to be expected for this process. In another series of experiments, metal complexes of 1 were investigated. 1/Cr+ was formed in the ion source and examined by metastable ion decay and collisional activation experiments, which revealed predominant losses of neutral benzene. Nevertheless, comparison with the bis-ligated [(C6H6)2Cr]+ complex provided evidence for the existence of an intact 1/Cr+ under these experimental conditions. No evidence for the existence of 1/Fe+ was obtained, which suggests that iron mediates the rapid retrocyclization of 1/Fe+ into the bis-ligated benzene complex [(C6H6)2Fe]+.

Benzene Derivatives↗

Advocacy in perioperative nursing practice.

Advocacy describes the act of pleading for, supporting, and active espousal. It implies taking action to achieve a goal on behalf of oneself or another. In nursing, the patient's wishes often serve as the impetus for advocacy. Perioperative nurses function as advocates and accept responsibility to safe-guard the rights of surgical patients. This article describes historical aspects of and conceptual problems in nursing advocacy, and it presents case studies that demonstrate advocacy by the perioperative nurse.

Adult↗

Expanded practice: the nurse as bioethics consultant.

The field of bioethics is evolving in health care. Nurses, with their clinical knowledge and expertise, are prime candidates for the role of ethics consultant. Many educational programs are available throughout the country for study in the field of bioethics. Nurses functioning in this role will find it a stimulating and challenging experience.

Ethicists↗

Ethical perception and resulting action in perioperative nurses.

This study examined whether perioperative nurses (n = 40) were able to perceive and identify selected ethical issues occurring within their practice setting. The nurses described ethical conflicts and identified factors influential to their ethical decision making. The issues reported were organized into five categories: consent/advocacy, impaired provider/potential for unsafe practice, misrepresentation by care provider, disrespect for patient, and provider judgment/competency. The results of this study support that perioperative nurses both perceive and identify specific ethical issues in the surgical environment. Analysis of their reported actions revealed that the most common methods used for ethical conflict resolution were reporting to the immediate supervisor or personally confronting those directly involved.

Adult↗

Pain management: ethical issues for the perianesthesia nurse.

Ethical aspects of pain management in the peri-anesthesia practice setting revolve around issues of competence. Nurses must have knowledge relevant to the current scope of nursing practice, changing issues and concerns, and ethical concepts and principles. Nurses and other health care providers must engage in ongoing discussion and deliberation about ethics and culturally sensitive care. Additionally, to ensure optimal outcomes, the care provided must address those aspects that are age specific. It is important not only to develop competence as related to tasks and skills, but also to develop critical thinking and decision making. All nurses need to be able to articulate a personal philosophy. They need to understand their own values and be able to anticipate the impact that ethical choice will have on their professional practice.

Adult↗

Perioperative nurses' involvement on nursing ethics committees.

Ethics issues in health care are evolving constantly; however, perioperative nurses often feel unprepared or unqualified to deal with aspects of ethical decision making. Through involvement as members of a nursing ethics committee, perioperative nurses can obtain the knowledge and skills necessary to assist patients and peers in ethical decision making. Participation on nursing ethics committees improves perioperative nurses' levels of moral reasoning, enhances their ethical decision-making and patient advocacy skills, and increases their professional satisfaction.

Ethics Committees↗

Implementation of an event-related sterility plan.

A paradigm shift from a time-related sterility method to an event-related sterility assurance plan is possible if the nurse manager's approach to OR staff members is well researched and properly presented. Following research protocols and providing a methodology and rationale to staff members will enhance the success of the implementation process. A successful paradigm shift to an event-related sterility system has the potential of increasing knowledge, improving practice, empowering staff members, and saving money, time, and effort.

Data Collection↗

The ethics of organ donation.

1. The primary bioethics principles, which are evidenced in the analysis and discussion of organ donation are: autonomy, beneficence, justice, and utility. 2. Organ donation encompasses a variety of ethics-laden issues ranging from invalidation of individual rights to the accepted criteria for donation. However, any of these issues can be categorized as relating to procurement, consent, and allocation. 3. The application of bioethical principles is integral to the decision-making process involved in organ-donation issues. It is the responsibility of nurses, physicians, ethics committees, and organ-procurement organizations, as well as the donors, recipients and their respective relations, to understand and determine which principles support a proposed decision on organ donation or allocation. 4. Human beings must discover and utilize valid principles in order to make effective ethical decisions in difficult or complex situations. By defining and applying the principles of bioethics, individuals can make sense of such painful experiences as those that address organ donation.

Ethics, Nursing↗