The impact of blended learning achievement, satisfaction, and self-directed learning in nursing students


  • Supawadee Thaewpia Ph.D. (Nursing)
  • Ratchanee Potchana MSN
  • Suthida Intaraphet Ph.D (Clinical Epidimiology)


blended learning, self-directed learning, learning achievement, satisfaction, nursing student



This study aimed to examine the effect of blended learning on learning achievement, satisfaction, and self-directed learning in nursing students. Qua-si experimental design was used in this study. The sample consisted of 106 nursing students. The blended learning for normal labor nursing care in maternal child and midwifery nursing course was used to teach the third-year students. Data were collected by using questionnaires and the learning achievement evaluation forms. The data were analyzed by using percentage, mean, standard deviation and dependent paired t-test. The results found that the total mean score of satisfaction on blended learning was at a high level ( = 4.04, SD = 0.58). Moreover, the students had significantly increased mean score of self-directed learning after participated in the blended learning (t = 2.03, p < .05). Only 9.43 percent of the students passed the study criteria of the examination. This study shows the strengthening of blended learning to promoting learning satisfaction and self-directed learning.







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1. Jamjan L, Boonchoochuay R, Insing S. Transformative learning: Lesson learned from nursing education. Nursing Journal of The Ministry of Public Health 2015, 24(3): 1-14. (in Thai)
2. Graham CR. Blended learning system: Definitions, current trends and future directions. In: Bonk CJ Graham CR, editors. The Handbook of blended learning: Global perspectives, local designs (p. 3-21). CA: John Wiley & Sons, Inc. [Online]; 2006. Available from
3. Wannapirun P. Blended learning: Principles into practice.Journal of Vocational and Technical Education 2011, 1(2): 152-164. (in Thai). Available from
4. Mamom J. Computer assisted instruction (CAI): educational technology to develop the knowledge and skills of nursing students. Journal of Science and Technology 2014, 22(2): 286-293. (in Thai). Available from
5. Nantsupawat A, Nantsupawat R. Satisfaction and outcomes of the teaching styles with blended learning in a nursing leadership and management course, Faculty of Nursing, Chiang Mai University. Nursing Journal 2013, 40 Suppl January 2013: 47-60. (in Thai). Available from
6. Chaiwongsa K. (2014). The effects of blended learning on Thai Qualification Framework learning achievement in nutritional course at Boromarajonani College of Nursing Udonthani. Proceedings of multidisciplinary on cultural diversity towards the ASEAN community international conference. July 17-18, 2014 Thumrin Thana Hotel, Trang, Thailand; 1305-1318.
7. Xuto P, Niyomkar S, Yothayai C. The effect of using blended learning to improve nursing students’ information technology competency as a way to support training for fourth year nursing student, Faculty of Nursing, Chiang Mai University. Journal of Nursing and Education 2014, 7(4): 156-167. (in Thai).
8. Chirawatkul S. Qualitative study in nursing. Bangkok: Wittayapat; 2012.
9. Srisatidnarakul B. The Methodology in Nursing Research. 5th ed. Bangkok: U and I intermedia; 2010.
10. Fisher M, King J, Tague G. Development of a self-directed learning readiness scale for nursing education. Nurse Educ Today 2001, 21: 516-525. [Internet]. Available from http://ccnmtl.
11. Taraddi E, Pokrajac K. Educational communication and technology: A project of the association for educational communications and technology. New York: Macmillan Library References; 2005.
12. Johnson K, McHugo C, Hall T. Analysing the efficacy of blended learning using Technology Enhanced Learning (TEL) and m-learning delivery technologies. Proceedings of the 23rd annual ascilite conference: Who’s learning? Whose technology?. 2006 The University of Sydney 379-383. [Internet]. Available from proceeding/pdf_papers/p73.pdf
13. Zolfaghari M, Negarandeh R, Eybpoosh S. (2013). Developing a blended learning program for nursing and midwifery students in Iran: Process and preliminary outcomes. Iran J Nurs Midwifery Res [Internet]. 2013; 18(1): 20-26. Available from:
14. Inkaew C, Napapongs W. Effects of blended learning in photographic technology for educational communication for undergraduate students, Faculty of Education, Prince of Songkla University. Academic Services Journal, Prince of Songkla University 2016, 27(2): 29-36. (in Thai). Available from
15. Gagnon MP, Gagnon J, Desmartis M, Njoya M. (2013). The impact of blended teaching on knowledge, satisfaction, and self-directed learning in nursing undergraduates: a randomized controlled trial. Nurs Educ Perspect [Internet]. 2013; 34(6): 377-82. Available from 24475598
16. Mersal FA, Mersal NA. Effect of blended learning on newly nursing student's outcomes regarding new trends in nursing subject at Ain Shams University. Am Educ Res J [Internet]. 2014 ; 2 (11): 1036-1043. doi: 10.12691/education-2-11-6
17. Li Z, Tsai M-H., Tao J, Lorentz C. Switching to blended learning: The impact on students’ academic performance. J Nurs Educ Pract [Internet]. 2014; 4(3): 245-251. Available from /view/3477/2366 DOI: 10.5430/jnep.v4n3p245
18. Thorne K. Blended learning: How to integrate online and traditional learning [Internet]. London: Kogan Page; 2003. Available from http://kenanaonline. com/files/0011/11429/Blended- Learning.pdf
19. Yingkuanchareon A. Development of blended web-based lesson on “Lighting for studio photography” for under graduated student with different personality. Veridian e-journal [Internet]. 2013; 6(2):126-137. (in Thai). Available from
20. Yimyam S, Charuwatcharapaniskul U, Chareonsanti J, Indarangkura Na Ayutthaya A, Xuto P, Chaloumsuk N. Developing on blended learning for developing the 21st century learning skills. Nursing Journal 2015, 42 suppl November: 129-140. (in Thai). Available from file:///C:/Users/asus %20pc/Downloads/57271-133449-2-PB.pdf
21. Gulielmino LM. Development of the self-directed learning readiness scale [dissertation]. Athen (GA): University of Georgia.; 1997.
22. Sriarunrasmee J, Techataweewan, W, Mebusaya, RP. (2015). Blended learning supporting self-directed learning and communication skills of Srinakharinwirot University’s first year students. Procedia Soc Behav Sci, 197: 1564–1569. (in Thai)




How to Cite

Thaewpia S, Potchana R, Intaraphet S. The impact of blended learning achievement, satisfaction, and self-directed learning in nursing students. JNSH [Internet]. 2020 Jan. 24 [cited 2022 Dec. 6];42(4):121-3. Available from: