Nursing care is the method where nurses use their nursing ability to adjust the balance between self care ability and self care demand. Starting by searching the problem or needs then developing patient or clients ability for self care. Nursing care is a dynamic system depending on patients or clients needs(7). To develop nursing care needs integrated quality management and risk management together. Nursing care comprises(8): 1. Outcome-based nursing service. This is specific nursing care to each health problem. 2. Holistic care: integrated physical, mental, emotional, social and spiritual care together. All of nursing activity focused on the science of caring. 3. Family-based nursing practice: its focus on family centre to solve health problem. 4. Management view: This is the management system for nursing quality. Using nursing process, nursing conference, nursing rounds, nursing modalities, and nursing documentation. Nursing care has to integrate 4 dimensions of service thus: treatment, health promotion, prevention of illness and rehabilitation as well as concern about holistic care(7). Nurses provide nursing care to all people to solve health problems, so need to have knowledge, ability to prevent illness, duplicate rehabilitation and promote quality of life. Nurses use Care MAPs and nursing care plan to guide nursing implementation in response to patients needs(9).