This study explored the relationship between motivational strategies and learning strategies among undergraduate nursing students using the MSLQ framework. The results indicated a strong positive correlation between overall motivation and most dimensions of learning strategies. Notably, self-efficacy for learning and performance and intrinsic goal orientation were the most significant predictors of effective learning strategies such as metacognitive self-regulation and time management. These findings reinforce the importance of motivational beliefs in shaping strategic learning behavior. Recent studies have highlighted self-efficacy as a key driver of students’ engagement, persistence, and use of deep learning strategies (
18). Specifically in nursing education, students with higher self-efficacy are more likely to regulate their cognition and behavior, set realistic goals, and manage their time effectively — skills essential for both academic and clinical success (
18). The role of intrinsic goal orientation as a significant predictor aligns with the self-determination theory, which emphasizes that internally driven goals foster autonomy, competence, and deeper cognitive engagement (
18). In contrast, extrinsic motivation showed limited predictive value in this study, supporting evidence that external rewards may not sustain long-term learning behaviors, especially in complex and emotionally demanding fields like nursing (
19).
Although the observed correlations between task value and learning strategies such as elaboration and organization were statistically significant, task value did not emerge as a significant predictor in the regression model. This suggests its influence may be mediated by other motivational components such as self-efficacy. The predictive effect of metacognitive self-regulation and time and study environment management on motivational outcomes is also worth noting. These strategies not only facilitate academic performance but may also reinforce motivation by increasing students’ sense of control and achievement (
20,
21). Such a reciprocal relationship implies that interventions aiming to strengthen one domain (e.g., time management) can positively influence the other (e.g., motivation).
Interestingly, help seeking did not correlate significantly with motivational strategies, a finding consistent with prior research that attributes this pattern to cultural or psychological barriers, such as fear of judgment or lack of trust in peers (
22,
23). This may indicate the need for educational environments that foster safe, supportive peer interactions and destigmatize asking for help. Help-seeking behaviors among university students are shaped by a complex interplay of socio-cultural and psychological factors. Findings from studies indicate that fear of negative evaluation and perceived social stigma within academic environments constitute major barriers to seeking support (
24,
25). A substantial number of students experiencing psychological distress refrain from seeking help due to beliefs in self-reliance, lack of trust in support systems, or concerns about compromising their academic credibility (
26). These barriers are often more pronounced in collectivist cultures, where preserving family honor, maintaining social image, and ensuring group harmony are highly valued. In such context, students may avoid seeking support to protect their personal or familial reputation (
27). This may help explain why certain subscales — such as test anxiety, peer learning, and help-seeking — did not yield significant predictive value in the regression models used in the present study. Rather than indicating a lack of conceptual relevance, these results may reflect avoidance behaviors or underreporting influenced by internalized stigma or academic pressures (
28,
29). A more nuanced understanding of these patterns requires the adoption of qualitative or mixed-method research approaches. Techniques such as in-depth interviews or cultural discourse analysis can shed light on how students interpret and experience help-seeking within their specific cultural and social contexts (
23,
30). Such approaches can help uncover hidden barriers and guide the development of culturally responsive interventions aimed at reducing stigma and enhancing access to both academic and emotional support.
From an educational standpoint, the findings of this study highlight the importance of fostering self-efficacy, task value perceptions, and self-regulated learning skills among students. Active learning strategies such as problem-based learning, simulation, and reflective practice have been shown to increase student engagement while promoting the development of sustained emotional, cognitive, and behavioral competencies (
31-
36). Instruction in self-regulated learning strategies has also been linked to enhanced academic attitudes, creativity, and cohesion in medical students (
2). Furthermore, evidence suggests that self-efficacy and self-regulation are key predictors of academic buoyancy and resilience, enabling students to better navigate academic challenges (
4). Strategic educational models, including those designed for virtual environments, have also demonstrated potential in fostering autonomy and motivation among learners (
11). Overall, this study highlights the interconnectedness of motivational and cognitive-regulatory factors in learning, and underlines the importance of integrated educational strategies that address both domains simultaneously. Future research should explore these relationships longitudinally and assess the effectiveness of targeted interventions aimed at fostering motivation and self-regulated learning in clinical settings.
Despite its valuable contributions, this study has several limitations. First, its cross-sectional design prevents any inference of causality between motivation and learning strategies. Second, the use of self-reported questionnaires may introduce social desirability or recall bias. Third, the study was conducted at a single medical university, limiting the generalizability of the findings to broader nursing student populations. Additionally, the study did not include diagnostic tests to verify regression assumptions such as multicollinearity, homoscedasticity, and normality of residuals, which may limit the interpretability of the regression outcomes. However, notable strengths include the use of a validated and comprehensive instrument (MSLQ), a relatively adequate sample size, and the application of both correlational and regression analyses to explore predictive relationships. The results have practical implications for nursing education, highlighting the need to foster self-efficacy, intrinsic motivation, and metacognitive skills through structured, student-centered pedagogies. Future studies are recommended to employ longitudinal or interventional designs across diverse educational settings to examine causal relationships and evaluate the effectiveness of motivation-enhancing educational interventions on learning performance and clinical competence.
5.1. Conclusions
The findings of this study demonstrate a strong and statistically significant association between motivational and learning strategies among nursing students; however, due to the cross-sectional nature of the study, no causal or reciprocal relationships can be confirmed. Self-efficacy and intrinsic goal orientation emerged as the most significant motivational predictors of effective learning behaviors. Likewise, metacognitive self-regulation and time management strategies were associated with increased motivation. These insights emphasize the importance of designing educational environments that simultaneously foster internal motivation and strategic learning. By integrating active, reflective, and student-centered learning approaches, nursing educators can support the development of autonomous and competent future nurses.