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To (a) explore how the diary contributes to patient motivation for monitoring self-management and (b) explore the nurses' experience of how the diary supports the patients' self-management after lung transplantation. A quantitative and qualitative study design. Fifteen patients and four nurses participated. Data were analysed descriptively and thematically. This pilot study shows that the diary strengthens patients' self-management in the first postoperative period. Nurses were confident that the patients were structured a