Abstract: Objective: To observe nurses' participation in the ward rounds with doctors, and to explore the facilitating factors and obstacles for nurses' participation. Methods: Purposive sampling was used to recruit 12 nurses from 2 units in a tertiary hospital. Observation and in-depth interview were utilized to collect data. Qualitative data analysis methods were adopted to understand the current situation of nurses' participation in the ward rounds and nurses' experience. Facilitating factors and obstacles were also explored. Results: 100% nurses accepted the model that nurses and doctors worked together during the ward rounds. They all agreed that this model of ward rounds could help nurses understand patients' situation with an integrated view, increase nurses' knowledge, improve the consistence of patient education between nurses and doctors, and highlight the collaboration recognition. While at the same time, nurses also lacked of activeness to participate. There were some conflicts at the aspects of ward rounds time and bed matching between nurses and doctors. It also showed the insufficient collaboration recognition between nurses and doctors. Conclusion: Doctors are still controlling the ward rounds, and nurses play the role of followers. In order to promote the quality of ward rounds between nurses and doctors and then increase the medical care quality,managers should make efforts on adjusting working time schedule and bed assigned model, increasing communication and collaboration, and promoting nurses' knowledge by continuing education.