OSCE (Objective Structured Clinical Examiniation) will include in Senior Professional and Technical Examinations for registered professional nurse in the future. Nowadays, OSCE has been applied as evaluation method at the department of nurse in every
college and university. Nursing teachers are the first to bear the transformation of the evaluation system and play as the soul of team. However, there are few studies on difficulties of nursing teachers facing the OSCE. This study utilizes questionnaire
survey to investigate difficulties when nursing teachers using OCSE to evaluating the clinical practice ability of nursing students at pre-graduate year. Enrolled are nursing teachers owning practicing OSCE and excluding the executive director to perform the
availability sampling. One hundred thirteen questionnaires sent and valid questionnaires were 131 with 98.5% recycling rate and data analysis by SPSS22.0.

Results are four difficult dimensions, which are controversies on examination fairness, lack of funding to develop enough manpower, enormous physical and mental stress and poor support from supervisors and staff. The major obstacle is lack of funding to develop enough manpower (M=14.14 ± 3.59). The second are controversies on examination fairness (M=12.18 ± 3.6) and enormous physical and mental stress (M=11.65±2.4). Significant difference was noted in the variable of the sense of identity
in OSCE difficulty among different school attributes and ranks. No significant difference was noted whether receiving the OSCE associated training or not. The study suggests first, to establish the society organization to fully develop manpower and second, to build a platform of sharing manpower, information and resources on basis of the results.