Purpose: To clarify a practical prespective on a pressure ulcer data and information.
　Materials: Pressure ulcer prevention team in A hospital.
　Method: Pressure ulcer surveillance records and PDCA management data were analyzed by qualitative research method.
　Results: There were 1,598 codes and 20 sub categories collected from documents and the data were analyzed. Analyses were divided six categories and one sub category. Categories: 1）Accurate data collection and charting during the early stage of intervention; 2）Detection of environmental/care factors from the position, shape and context of preventive care for pressure ulcers; 3）Identify hospital management issues based on individual patient environmental/care factors; 4）Identify the stage of wound and environmental/care factors, then adapt care practices; 5）Continue “Kaizen” action based on Plan-Do-Check-Act（PDCA）cycle; and 6）Proper pressure-reducing mattress control using one-day survey data of patient wound stages and necessity.-Sub category: Purchase negotiations for pressure-reducing mattress es after obtaining proof of cost-effective nursing care.
　Conclusion: Viewpoint of the the practical a pressure ulcer data and information indicated that PDCA pressure ulcer management led a skilled care and quality control for individual patient.

　This study investigated factors related to adjustment of ileostomates.
　Few studies have examined self-care self-efficacy in ileostomates. Semi-structured interviews were conducted with 15 ileostomates. As a result, 89 codes were identified for pooling of items and we developed a questionnaire to measure the self-efficacy of ileostomates. Next, a study was conducted to examine the reliability and validity of the questionnaire and to clarify the factors related to adjustment in ileostomates. One hundred and thirty-eight ileostomates were asked to complete anonymous self-reported questionnaires. The data about self-care self-efficacy were analyzed by factor analysis. Then, the data on adjustment and related factors were analyzed by covariance structure analysis. As a result, we identified two subscales, of self-care self-efficacy, that we called “stoma self-care self-efficacy” and “social life self-care self-efficacy”. Furthermore, we also identified the following seven factors: “adjustment”, “stoma self-care self-efficacy”, “social life self-care self-efficacy”, “trait anxiety”, “state anxiety”, “self-esteem” and “social support”. Finally, we could obtained an appropriate ileostomates adjustment model.
　According to the model, social life self-care self- efficacy is directly and positively related to adjustment, while stoma self-care self-efficacy is indirectly related to adjustment. The model can show the importance of adjustment in facilitating not only stoma self-care self-efficacy but also social life self-care self-efficacy.