Background:
Empowering general nurses to manage patients in early-stage of chronic kidney disease (CKD) is vital to slowing the disease progression. However, many nurses lack formal training in CKD care, which limits their care effectiveness in this area. Given the heavy workloads and widespread geographical distribution of nurses in Indonesia, there is an urgent need for a flexible and accessible training model. Blended learning presents a scalable solution to equip the nurses with essential skills while accommodating their clinical responsibilities.

Objective:
This study reports on development and validation of the RenNers program, a training initiative focused on early-stage CKD management for nurse professionals using a Blended Learning approach combining online and face-to-face components.

Method:
The development of content and media in the RenNers training was undertaken by the project team with input from CKD experts (n=5). The draft training materials were subsequently uploaded to an e-learning platform. Concurrently, 15 stakeholders in CKD care and learning technologists were invited to participate in an iterative review process to validate both the content and technical presentation of the RenNers program in the learning platform.

Results:
The final RenNers training program consisted of 4-week blended learning module. Stakeholders affirmed the relevance and usability of training content (all items scored >80%), with some key actionable refinements included:
(1) rephrasing the learning objectives to better emphasise high-order thinking,
(2) integrating more case-based scenarios to enhance critical thinking, and
(3) incorporating gamification features in the e-learning platform to increase participants’ engagement.
In the terms of presentation, stakeholders recommended a more streamlined layout with clear signposting, improved colour contrast, and appropriately sized fonts to enhance accessibility and overall engagement with the online materials.

Conclusion:
The RenNers blended training model was perceived to be highly relevant to Indonesian nurses’ working in CKD care. RenNers includes case-based scenarios, higher-order thinking, and gamification elements which were perceived to have high relevance and usability, RenNers is a promising, scalable model for continuing nursing education in low resource settings like Indonesia.

Keywords: Continuing nursing education, chronic kidney disease, blended learning.