Integrating Digital Didactic Tools with Scramble Word Activities to Improve Nursing Students' English Writing Proficiency

Blended learning is vital for strengthening nursing students' English writing skills. One approach to improving these activities is to combine digital didactic tools with scrambled word exercises on the Flippity.net digital platform. This research is a qualitative case study. Data were gathered through classroom observations, interviews, and examination of students' original work before and after the blended learning activity was implemented. Three aspects focus on as a result of this study, such as sentence structure, vocabulary use, especially in medical terminology, and grammatical accuracy. Students appeared to be more involved and confident while the exercise was being implemented. This activity showed a positive response because this method prioritises an interactive, game-based approach. Despite initial challenges such as limited internet access and unfamiliarity with the platform, both students and lecturers found the method effective and enjoyable. However, the participants were engaged and enthusiastic during the implementation and found this method to be effective and fun. These results showed that the integration of digital tools to improve the writing skills of nursing students who focus on ESP nursing as a practical and student-centred strategy for English for Specific Purposes (ESP) instruction, especially in nursing education, where communication accuracy is needed.