Objective To probe into the application of hierarchical management in clinical nursing management.Method 80in-service nursing staffs of our hospital were randomly divided into observation group and control group

with 40 staffs in each group during the period from April 2011to April 2012.The control group adopted the routine nursing management

while the observation group took the hierarchical management

and job engagement

comprehensive caring level and nursing satisfaction degree of the two groups were compared.Results After adopting different nursing management

scores on job engagement

operation and theoretical knowledge in the two groups were compared and the differences were statistically significant（p<0.05）.Nursing satisfaction degree of the observation group was 97.5%

and doctors’satisfaction degree was 100.0%and those of the control group were 77.5%and 85.0%respectively

and the differences between the two groups were statistically significant（p<0.05）.Conclusion Adopting hierarchical management in clinical nursing management can significantly improve the job engagement and comprehensive level of nursing staffs

upgrade the satisfaction degree of patients and doctors

which plays an import role in improving the nursing quality.