The dynamic changing in the world life may in uence to many sectors such as culture, geographic, socioeconomic, technology, politic and demographic. It is also involve the process of globalisation when people may have different thinking and action. In globalisation era, we are facing of borderless and competitiveness that can improve the opportunity and challenge among people and countries in the world including in nursing areas. Since Asian Economic Community (AEC) 2015 has been announced, there is an open access among ASEAN (Association of South East Asia Nations) countries, which is including in health sectors. As well as the challenge, there is also competition to have great health services among countries including at the area of nursing services.