| Session | 1st AR | 7th AR | Final AR |
| n | 10 | 9 | 15 |
| Change | Towards ethical practices: individual needs | Awareness of ethical practices: relationship with patients/their families | Awareness of ethical practices: sharing and self-development |
| Cluster name | Wish to realize the development of own perspective and approach to ethical issues (9) | Significance of accepting and facing the goals and ideas of patients (12) | Awareness of need for listening to and thinking about the opinions of others (17) |
| Wish to broaden the own ethical response patterns by gaining a broader multifaceted perspective (7) | Difficulty in the process of achieving consensus with patients and their families (11) | Significance of pausing and communicating the importance of thinking ethically (11) | |
| Wish to obtain a perspective and approach to evaluate the own ethics involvement (6) | Necessity for self-care abilities of patients and continuous responses to potential problems (9) | Importance of records for sharing pre-transplant information (10) | |
| Wish to deepen ethics ideas by reflecting on and discussing worries and ideas in nursing practices (3) | Importance of dealing with problems in a consistent manner without being disturbed by details of the process (7) | Empirical knowledge necessary to provide appropriate information in a timely manner (8) | |
| Wish to improve ethical sensitivity without becoming indifferent to ethics (2) | Realizing the heavy responsibility to be entrusted with patient’s life in an ethical involvement (6) | Awareness that shifting the perspective of the staff to patients is the first step towards ethical thinking (8) | |
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| Necessity to conduct a dialogue while keeping appropriate distance from donors, recipients, and families (5) | Skills acquired by sharing similar worries and information among different facilities (7) | |
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| Importance of providing information helpful to visualize the future while identifying the true intentions and relationships of donors and recipients (5) | Continuing efforts to challenge unexpected problems arising after transplantation (7) | |
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| Significance of thinking about the transplanting from the standpoint of donor candidates (5) | Increased sensitivity resulting from being released from stereotypes in the ethics (2) |