Nursing is an integral part of the health care system, providing support for people who are ill or in good health. It helps to provide comprehensive care for all users of care facilities. The overall aim is to help improve nursing practice in health care institutions. Methodology: we carried out a qualitative, quantitative and explanatory study using a field study in private and one public facilities involving 17 doctors and 25 nurses based on non-random sampling from 1er July to 31 August 2022 after obtaining informed consent. Results: The study revealed that 76% of nurses were unaware of the existence of their establishment's internal regulations and 60% were unaware of the description of their tasks in the department. Similarly, 25% of these nurses concluded that there was no reception procedure in their department. 72% of nurses stated that they did not have an identifier for their facility. While we found that only 4% of the nurses in our study had correctly defined the basis of nursing practice and the components of a nursing care plan, none of the nurses used a care plan in their department. As regards the doctor-nurse relationship within the care team, 29% of doctors treated nurses as subordinates. In conclusion, the problem of nursing care in Commune I is very real, and only strong administrative policies can improve it.