The purpose of this study in the field of organ transplant nursing was to explore predicting factors of ethical distress in recipient transplant coordinators (RTCs). A multiple-choice questionnaire survey was sent to all RTCs working at organ transplant facilities throughout Japan. Eighty-four completed surveys were returned for a response rate of 47.5%. Exploratory analysis of the responses to the items on 30 ethical situations in 3 transplantation domains (general, living donors, and brain death donors) revealed that the ethical distress construct had a 3-factor structure: inappropriateness of transplant, lack of confidence as an RTC, and obstacles to the ethical performance of duty. Multiple regression analysis using the subscale scores for each of these factors as outcome variables and personal characteristics, RTC-related characteristics, environmental characteristics, and ethical characteristics as the explanatory variables revealed that RTC position type (concurrent post, full-time), RTC experience, and transplant caseload were poor predictors of ethical distress in RTCs.

The present study aimed to obtain an insight into nursing practices supporting the outpatients who have undergone hematopoietic stem cell transplantation (HSCT), by describing the sense of bodily strangeness among patients who visit a hospital as an outpatient after undergoing HSCT.

The study conducted semi-structured interviews were held with 9 participants, and the obtained data were analyzed using the descriptive and phenomenological approach of Giorgi.

As a result, we revealed the following concerning the sense of bodily strangeness the following. Skin:“It seems that there are others in me”, sense of taste：“strangely, the taste becomes sensitive”, digestive organ:“sudden vomiting of unknown cause”, strength：“Didn't I have this much muscle?”, physical condition：“something is winding in a place other than the dimension of being careful by yourself”.

The results of this study suggest that patients performed life control assessing physical condition based on the sense of bodily strangeness, avoiding and receiving the sense.　The nurses should support patients to pay attention one’s sense, receive the sense of bodily strangeness as sign of physical condition and associate the sign with life control.

Purpose: This study aimed to identify the experiences of family members supporting a patient who developed chronic GVHD after hematopoietic stem cell transplantation and to examine nursing support for the patient and family to examine nursing support for patients and their families.

Methods： Semi-constructive interviews were conducted with nine family members of a patient diagnosed with chronic GVHD who was attending an outpatient clinic. The content of the interviews was analyzed qualitatively and descriptively.

Results： The family members described their experiences of gratitude for having life, suffering from the uncertainty of chronic GVHD, and The family members were asked about "their experiences of being thankful for the existence of life, " " suffering from the uncertainty of chronic GVHD, and" being prevented from having the future they had envisioned. "

They supported the patients by using the following approaches: "being prepared to support them as a family," "seeking what they can do as a family to cherish the present," "keeping a distance to avoid confrontation," "revealing their feelings," and "sharing their experiences with others besides the patients".

Conclusions：Families of patients with prolonged chronic GVHD continued to wish for the patient's recovery and to think about what they could do as a family in the face of the uncertain course of the disease. It became clear that they felt anxious and distressed because they could not fully grasp the patient's situation. Therefore, we believe that it is necessary to provide support to encourage communication between patients and their families, and to provide opportunities and places where families can consult with patients.

This study aimed to clarify self-management support details of outpatient kidney transplant recipients (KTRs) provided by recipient transplant coordinators (RTCs) less than one year, from one to five years, and more than five years after the KTRs’ first outpatient visit after transplantation. Data were collected by conducting semi-structured remote interviews of seven nurses with at least five years of experience in providing care for KTRs and currently practicing as full-time RTCs. The collected data were analyzed using a qualitative descriptive approach. The care provided to outpatient KTRs by RTCs was classified into 19 categories. The RTCs “provided a thorough guidance to establish self-management” less than one year since the first visit after transplantation. They “evaluated the established self-management regimen” and “improved adherence to oral medications” from one to five years after transplantation. They also “provided guidance while acknowledging the patient’s experience with a successful long-term graft” and “offered support in choosing the next renal replacement therapy” more than five years after transplantation. The RTCs “provided guidance to the KTRs to promote adherence to oral medications and self-management” and “provided nutritional guidance tailored to the individual patient’s lifestyle to prevent weight gain” during the entire period. They helped KTRs adapt to post-transplant life and develop self-management habits within one year of transplantation, encouraged patients to continue the established self-management habits one to five years after transplantation, and offered tailored support based on each patient’s post-transplant kidney and physical functions more than five years after transplantation.