Objective：This study evaluated whether a home nursing training guidance support program without any time or space constraints－which is developed by utilizing information and communications technology－would be useful in providing educational support to visiting nurses to address difficulties in their practical training.

Methods：A support program for home nursing practice guidance （hereinafter referred to as the support program）based on social support was created. Then, we conducted a baseline survey and a post-intervention survey on the difficulties experienced by visiting nurses in teaching home nursing practice.

Results：Visiting nurses reported a sense of difficulty in teaching home nursing practice. After the delivery of the support program, the difficulty score significantly decreased for the items of “guiding unmotivated students”'（p=0.019）and “guiding today's young people”' （p=0.035）. The support program expanded from 247 recipients to 1,094 users.

Conclusion：The support program may have helped visiting nurses develop positive understandings toward the students and reduce their feelings of difficulty. In the intervention survey, 70% of those wished to continue using the drug. In other words, the need for support programs was suggested.

Purpose：To clarify the contents of consultations during regular and telephone consultations of home-living patients wearing an Implantable Ventricular Assist Device（IVAD）at an outpatient department in specialized facilities.

Method：The consultation contents were extracted from the medical record description of the patients in the outpatient department and the telephone at the specialized facility in a longitudinal manner.

Results：Consent from 27 patients were obtained, and there were 147 consultations. There were 53 cases（36%）during regular visits, 94（64%）by emergency contact, and 93 consultations（63%）concerning complications. Home equipment management was consulted at the emergency communication by telephone, and employment was consulted during regular consultation.

Conclusion：Complications were the most frequent consultation for home-living patients wearing an IVAD. The contents of the consultation differed between regular visits and emergency contact. With consideration to the yearly waiting period for heart transplantation, it is necessary to capture changes in the patients and family caregivers. To respond to the consultation promptly, specialized facilities, homecare nurses and community pharmacists need to cooperate and develop a highly specialized and individualized support system.