Abstract: Basic nursing is the best approach of observation illness for nursing staff, the best communication bridge between nurses and patients and directly reflecting the spirits of nursing service.At present, there were some problems existed: basic nursing implemented by family members or nursing workers, nonstandard operation, the lack of nursing skills, observing illness without carefully, no specific health education, incomplete psychological care and so on.Three aspects including nursing staff, hospital management and social environment should be thought to strength basic nursing work, providing references for propelling nursing reform.