To the author:

I am a new graduate student and have just reviewed this article for my class. I thoroughly enjoyed it. I have held a position as a clinical manager of a hemodialysis unit. The basic principles in "Steps of Ethical Management Decisions" are essential in establishing both a personal and professional criteria. How did your research come up with these steps? How long did it take you to formulate them? Thank you for your time. And thank you for your article.

-Tracy P.