This research presents a theoric-conceptual approach of the information and knowledge sharing question with focus on the hospital libraries employees in the city of Curitiba in Paraná state, Brazil. It argues the concepts of information management and is approaches, as well as its relation with the specialized libraries and the treatment of information in health. It still presents concepts of creation, propitious environment and obstacles to the knowledge management in the organizations. It argues the obstacles to the information and knowledge sharing and actions to sharing and actions to surpass them with basis on pertinent literature to the subject. Complemented with a field research the study verified by means of questionnaire application how the information and knowledge sharing between employees of hospital libraries occurs. It brings as result of the study a panorama of the initiatives of knowledge management in hospital libraries in Curitiba.