The study examined barriers to the use of physical assessment skills among nursing students at Northern Border University in a descriptive cross-sectional study with 260 participants. An online questionnaire with demographic data and a five-point Likert scale (1–5 points) was used. Of the participants, 68.5% were aged 20–29, 67.7% were female, 75.8% were single, 56.5% were in their third year, and 80.8% had a GPA above 3.5. Many students view the physical assessment as a physician's role. The most significant barriers were dependence on technology, lack of time and the culture of the department. Females reported more barriers, especially technology dependence and low confidence (p < 0.05), regular program students faced more challenges than those in bridge programs (p < 0.05). Program type, age, and gender significantly predicted perceived barriers (p < 0.05). The study highlights the need for targeted interventions such as structured simulation and clinical mentoring.[2]