The present study envolves a group of reflections about the culture and its repercussions on the organizational model and on the manegement style. It has been applied two tools for information collecting. A question form to examine culture and interview follow-up. By these means, it has been obtained complementary data as to the internal situation of nursing service. The results have shown that the real situation is kneet by a neutral and direct climate, with power centralization and a little participarion in decision process as to the desireble situation related to great team habitat, a certain flexibility and mobility and transparances in comunication channel. Starting with diagnosis, the strategy of action that could renew culture has been searched and development of manegement skills in a recentralized and flexible organization as well.