In the era of globalization, health knowledge and technology have become advanced. Globalization triggers the unstoppable competition between hospitals to upgrade their standards of hospitalization, it results the competition between hospitals to be tight. Hospitals compete against one another to serve the best health services for costumers. Patients satisfaction has become major priority. Each hospital is required to be supported by professionals who run in the specialized of hospital services. The majority personnel of hospital are nurses which intensely communicate and contact with the patients. Thus, the quality and competency of nurses must be in concerned for the hospital management.