A computerized nursing care strategy has been implemented for neurosurgey patients at a medical center since 1992. This study assesses how nursing staff can effectively utilize this computer program. The retrospective design was used in this survey. Two types of data were collected: (a) computer files from 1994 to 1996, in which random data were drawn from neurosurgery patients staying more than three days in four neurosurgery wards and (b) interviews of nursing staff. Descriptive statistics methods were applied such as frequency, percentage, and chi-square test. The results indicated that the conventional disease diagnosis is ICH while the conventional nursing diagnosis is high-risk infection. The nursing diagnosis of skin impairment takes the longest nursing time to be managed. The rate of utilizing pre-set disease diagnosis is 64.1%. The percentage of completed nursing care plan in 24 hours after patient’s admission to the ward is 99.1%. In the nursing care strategy the most completed part is identifying factors of nursing diagnosis. The completeness of a nursing care strategy is not correlated with the nursing staffs' education background, working experience and position.