Abstract: Objective: To investigate the ICU settings of Health Care Institutions in Ningxia and the present situation of nurse specialists and to provide the references to the development of training foundation. Methods: Totally 125 nurses trained and awarded certification by the ICU training foundation of Ningxia were asked to answer the self-designed questionnaires by convenience sampling method. Results: There were 8 hospitals that failed to well found the ICU. Besides, the first 3 items of the core competence upgrade ranked after the training were exploit the simple respirator, basic nursing for critically ill patients and use the monitor safely. Conclusion: Based on the capital investment and working, the development of nurse specialists in Ningxia shall consider the integration of its national characters as part of standardized training, and formulate a suite of regulations to well manage this group, from relationship of administrative, cultural acquires, salary treatment and attendance rules to the methods of performance appraisal.