Background : Head nurse evaluation of the nurses' performance of chest care procedures is vital to quality patient care at ICU. While nurses' self-evaluation help nurses to pay attention to their own performance, raise their self-awareness and efficacy to make efforts for improvement in performing of six chest care procedures. So head nurses and nurses actually need an educational training program for enforcing them for continuous performance improvement and updating knowledge .Objective: study head nurses' evaluation and nurses' self-evaluation of performing chest nursing care procedures.