Goal To strengthen the training system of reserve nursing talent , to improve the level of nursing management in our hospital , the implementation of head nurse assistant program, selection of backbone nurses to serve as the assistant head nurse, to help head nurses in Department management since 2012. Results Through the implementation of head nurse assistant program, breeding the awareness of backbone on nursing management and improve the level of management, to further strengthen the management of departments. Conclusion the head nurse assistant system can make ful use of nursing backbone’s initiative , to grow rapidly in the actual management, conducive to the cultivation of nursing management talents and strengthening nursing management, achieved good effect.