Yasin M. Yasin, Areej Al-Hamad, Kateryna Metersky, Pamela Durepos
Background Understanding the career motivations and stress experiences of Generation Z (born after 1997) nursing students is essential for developing effective recruitment, retention, and support strategies in nursing education. Despite global evidence on career motivation in healthcare, limited research has examined these factors within the Canadian context, particularly in the province of New Brunswick. Purpose This study aimed to assess the factors influencing Generation Z nursing students’ decisions to pursue nursing as a career, examine sociodemographic differences in these factors, and explore associations between sociodemographic variables and perceived stress levels. Methods A cross-sectional survey was conducted among undergraduate nursing students in New Brunswick, Canada ( n = 261). Data were collected using the validated Healthcare Career Choice Scale and a single-item stress measure. Descriptive and inferential statistics were performed to explore relationships between career choice factors, sociodemographic variables, and stress levels. Results Students were primarily motivated by intrinsic and social utility values, including working with patients, professional growth, and contributing to society. Significant sociodemographic differences were observed across gender, age, race/ethnicity, origin, and educational background. Participants reported moderate to high stress levels; however, stress was not significantly associated with any sociodemographic variables. Conclusion Findings highlight the predominance of altruistic and socially driven motivations among Generation Z nursing students and the need for supportive, inclusive, and wellness-oriented educational environments. Addressing structural and psychosocial barriers may enhance student well-being, retention, and long-term workforce sustainability.