Complex health care needs focus on accountability and necessity of inclusion of nurses in documenting and monitoring clinical care plans have brought in the concept of initial nurse assessment. This Study presents major findings of the study discussed with referenceandinrelationtosimilarstudiesconductedbyotherresearchers.Theaimof the study was on knowledge and practice of staff nurses towardsnursing initial assessment at a tertiary care Hospital at Dehradun. It was found that 118(69.47%) staff nurses had good knowledgeon initial assessment whereas few had 3(1.78%) poor knowledge on initialassessment. Knowledge score grading frequency percentage: 0-9 poor, 10- 14average,15-20good [69.41%]belongsto goodcategory. Datainthe tablerevealsthat 130 (76.5%)of staffnursesare having good practiceand 40(23.5%) arehavingavera gepractice. There sults of the present study showe dasignificant correlation between the four assessed domains that seem perfectly logical because an increaseina person'sknowledge of evidenced basedpractice will beac companied by increased levels of hi Sskilland practice.Quality assessment tool was conducted to collect data and the obtaineddata wasanalyzedusing descriptive and inferential statistics.A focus group design was utilized to explore and conceptualize an initial nurse assessment form that may be utilized by service hospitals.