This document summarizes a study on the use of group projects with online peer review in a nursing program. Students were assigned to groups of 5 and collaborated on projects about diabetes mellitus or colorectal cancer. The project had three stages, including a written report, peer review, and final report. Results found that peer feedback, teacher guidance, and clear guidelines helped students provide effective peer assessment and feedback. Students perceived teacher comments as more valid but the blended peer review approach improved learning and satisfaction.