Background: Nursing involves “hands-on” psychomotor skills and clinical decisions in the affective and psychomotor domains which needs to be evaluate in a method that cover both domains. Through different methods of assessment objective structured clinical examination (OSCE) could be mentioned as an appropriate way for evaluating the medical students specially nursing students. objective: investigating the student’s views toward OSCE Design: A qualitative, exploratory study designed according to COREQ checklist Methods: twenty-five students who experienced OSCE exam were selected purposively. The data were collected by using semi structured interviews. The interviews were verbatim transcribed and analyzed according to the qualitative content analysis based on Graneheim and Lundman method. Results: Two main themes emerging during data analysis were: 1- Management aspects problem, that includes 3 categories: 1) supervisor’s behavior, 2) time management,3) Facilities, and 2- Educational aspects problem including three categories of 1) Simulation, 2) Educational background, 3) Question design which are key factors in conducting a more rational and helpful OSCE exam. Conclusion: results could be highly effective in promoting both clinical skills evaluation and educational programs. using more student-center methods in teaching and providing facilities to bring students to the real world of profession helping them to improve their ability in clinical decision making.