Abstract: Objective To investigate the application of hierarchical management approach in nursing management and application of the results. Methods To compare the quality of care before and after implementing hierarchical management, training of nurses and patient satisfaction. Results After the implementation of nurse hierarchical management, quality of care, the rate of training and patient satisfaction has significantly improved. Conclusion The implementation of the hierarchical management nurses, can achieve a reasonable allocation of human resources and scientific management, and promote the steady improvement in the quality of care and continuous improvement, improve patient’s satisfaction.

Key words: nurse hierarchical management model, care management, application