Introduction: The nursing approach (NA) is the essence of the nursing profession. However, its implementation is almost absent in the hospitals of the Democratic Republic of Congo (DRC). Objectives: The aim of this study was to determine nurses' knowledge, attitudes and practices in relation to the nursing approach and to identify barriers to the implementation of this approach. Methods: To achieve these objectives, we carried out a cross-sectional descriptive study among the nurses of the 11 public hospitals of Lubumbashi, from June to September 2015. Thanks to a validated questionnaire, we collected the data by interview, supported by participatory observation. Results: The results showed that 67.6% of respondents were trained on NA; However, 99.3% did not know the exact number of NA steps and 62.6% did not cite any steps; The majority (93.5%) of trainees on NA find that this process provides quality patient care; 100% of the sample wish to put it into practice; 100% of the sample need continuous training on NA including 67.6% to improve knowledge and 32.4% to learn; 89.1% of those trained reported not practicing NA, but participating direct observation gave 100% of non-practice. The barriers to implementation of the NA were inadequate nursing staff (75.6%), inadequate equipment (71.5%), lack of time (62.6%), lack of theoretical and practical knowledge (47.2%), lack of nursing records (26%) and lack of institution for nursing care within the hospital (17%). Conclusion: Therefore, capacity building of nurses through continuing education, as well as initial training on NA, would increase their knowledge, reinforce positive attitude and promote its implementation, all supported by improved working condi-

Introduction: The nursing process is an organized method that focuses on the individual reactions of a person (or group) in order to produce a clinical judgment about the person's state of health in order to make decisions about to the care to be given [1]. Method: The qualitative study has been carried out in this work. This involves exploring the factors related to their experience and the feelings of each caregiver in order to identify possible pathways for the implementation of the nursing process in public hospitals in Lubumbashi. Results: The results showed that the factors that can favor the implementation of the nursing process according to the expression of the nurses surveyed are: updating knowledge on the nursing procedure, setting up the nursing file, availability nursing staff (sufficient staff and permanence in the workplace), motivation of nurses (salary, promotion, bonus, etc.), availability of work equipment. Conclusion: Ultimately, the main challenges remain the training, the equipment of the hospitals and the financial motivation of the nurses.

Introduction: Teamwork is an issue that hospitals must encourage. But the fact is that many hospitals do not promote mutual knowledge of different professions for complementarity in order to meet the needs of patients or the population. Our study pursued a threefold objective: to explore physicians' perceptions of nursing care, to describe physicians' perceptions of the role of nurses, and to identify some characteristics of physician-nurse collaboration. Method: We conducted a cross-sectional descriptive study with 14 doctors at Lubumbashi General Reference Hospitals (Sendwe, South Gecamines and University teaching hospital). Data collection took three months, from May 1 to July 31, 2018. Of the exhaustive sample of a population of 25 physicians, only 14 physicians freely consented and participated in the study and constituted the final size of our study sample. The data has been processed with Excel 2013 and Epi-info 7 software version 7.2.1.0. Results: At the end of our study, we found that no doctor has been able to define either the term nurse or nursing. In addition, 21.5% of the doctors thought that the role of the nurse is to execute the decisions of the doctor. Although 78.6% and 64.3% respectively strongly agreed on the nurse's consideration as a collaborator and staff needing to clarify a medical prescription; 71.4% reported that the nurse did not have an independent role, 100% had no knowledge of the nursing approach, and 100% found that respect for the role of physicians is one of the elements of their collaboration. In the end, all these results showed the ignorance of the term nurse, nursing care and the nursing approach by the doctors of the public hospitals of the city of Lubumbashi. Conclusion: At the end of our research, we found a negative perception of the nurse