One important aspect of health development is availability of human resources for health. Thenurse's challenges in Indonesia is low quality, such as inadequate levels of education and skills. Asmany as 70.4% of nurses in Hospital X Mojokerto not in accordance with the qualifications requiredin 2014. This study aims to develop recommendations on improving the qualification and competenceof nurse based on human capital approach. This descriptive study used cross sectional design throughsecondary data analysis from personnel unit of Hospital X Mojokerto. This study shows that nursequalifications for certain work units and positions are still unfulfilled. Emergency installations, highcare units, treatment units III, and operating room units that require nurses with specialcompetencies. The position of head of the room also has not met the criteria in 6 work units. Thisresearch formulates recommendations to improve nurses' competence in X Mojokerto Hospitalthrough improvement of recruitment and selection system, provision of continuing educationopportunities and training and career preparation for nurses