Developing a blended learning curriculum using a digital notebook application for a surgical nursing practicum: The ADDIE model


nursing students
blended learning
digital notebook application
surgical nursing practicum
problem-based learning

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Kardosod, A., Rattanakanlaya, K., Noppakun, L., Meechamnan, C., Indratula, R., & Deechairum, S. (2023). Developing a blended learning curriculum using a digital notebook application for a surgical nursing practicum: The ADDIE model. Belitung Nursing Journal, 9(2), 192–197.
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Accepted for publication: 2023-01-16
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Background: The COVID-19 pandemic has presented challenges to nursing practice globally. However, utilizing digital notebook applications to support nursing student practices may be an effective tool for surgical nursing practicum.

Objective: This study aimed to design a blended learning curriculum for surgical nursing practicum, utilizing a digital notebook platform.

Methods: This study applied the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) model to create a blended learning curriculum for surgical nursing practicum, employing the OneNote application platform. The study included three experts and 90 third-year nursing students who evaluated the model. The study was conducted from July 2021 to March 2022 at the Faculty of Nursing, Chiang Mai University, Thailand. Data were analyzed using descriptive statistics.

Results: The experts rated the model highly (Mean = 4.33, SD = 0.57). The satisfaction level of the students with the blended learning curriculum using a digital notebook application was also high (Mean = 4.88, SD = 0.31).

Conclusion: The blended learning curriculum using a digital notebook application for surgical nursing practicum was satisfactory for learners. The results from this research can be applied in online learning or incorporated into nursing clinical practicum curricula during and even post-pandemic. The study results may also serve as an example or a piece of basic information to further develop an advanced online platform for teaching learning, either in Thailand or globally.

Supporting Agencies

This study was funded by a classroom research grant from the Faculty of Nursing, Chiang Mai University, Thailand


Copyright (c) 2023 Apichat Kardosod, Kanittha Rattanakanlaya, Lalida Noppakun, Chutima Meechamnan, Rujadhorn Indratula, Sirinard Deechairum

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

None declared.


This study was funded by a classroom research grant from the Faculty of Nursing, Chiang Mai University, Thailand.


We would like to express our appreciation to the third-year nursing students who participated in this study. Additionally, this research would not have been possible without the Nursing CMU Publication Support Center (PSC) to revise and provide information for manuscript writing.

Authors’ Contributions

AK, KR, and LN drafted the article and conducted a review for this study. CM, RI, and SD performed the data collection and analysis. AK and KR contributed to the design and concept of the study. AK wrote the manuscript in coordination with other authors and discussed improving the final versions of the submitted and published manuscript. All authors were accountable for each study step and approved publishing the final article.

Data Availability

Due to privacy and ethical concerns, neither the data nor the source of the data can be publicly made available from the corresponding author.


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