From initiation to long-term implementation: Evaluating the implementation status and factors influencing implementation of interventions promoting physical activity-related health competence in German nursing education

Grüne E, Popp J, Lorenz E, Carl J, Hartung V, Pfeifer K (2026)

Publication Type: Conference contribution, Abstract of lecture

Publication year: 2026

Series: Integrating Green Spaces and 24-Hour Movement Behaviours for Combating NCDs.

Pages Range: 194

Conference Proceedings Title: HEPA EUROPE 2026: Green Pathways to Health

Event location: Ljubljana SI

URI: https://research.hanze.nl/ws/files/80349348/HEPA_2026_Abstract_Book.pdf?utm_source=hbo-kennisbank.nl&utm_content=download

DOI: 10.52165/HEPA2026

Abstract

In 2020, physical activity-related health competence (PAHCO) was integrated into the Bavarian nursing education curriculum, requiring practical implementation of this specific content. Within the TakeCare! project, a cluster-randomized controlled effectiveness-implementation study with three intervention groups and one control group was conducted at 16 nursing schools in Bavaria, Germany. This contribution examines implementation status and factors influencing implementation. The evaluation followed a mixed-methods design. Implementation status was assessed via questionnaires completed by school project coordinators and analysed descriptively (n=16). To explore influencing factors, semi-structed interviews were conducted with coordinators and were analysed using qualitative content analysis (n=16). All interventions were initiated at nursing schools of the three intervention groups. However, sustained implementation of specific components occurred mainly in two groups. Various influencing factors were identified at multiple levels: schools (e.g., resources, curricular integration), individuals (e.g., teachers’ competencies, headmaster’s attitude and actions), interventions (e.g., content and methods, organization), processes (e.g., communication, planning), and beyond schools (e.g., nursing education curriculum, networks and collaborations). In particular, implementation by teachers proved promising, regardless of whether the intervention was developed in a participatory manner or by researchers. Furthermore, sustainable implementation requires addressing multiple influencing factors. Based on these findings and effectiveness results, recommendations for statewide implementation will be developed, supporting school practitioners and policymakers to establish the promotion of competencies for physically active lifestyles among nursing students.
Support/Funding Source: The study is funded by the Bavarian State Ministry of Health, Care and Prevention and the German health insurance company KKH Kaufmännische Krankenkasse.

Authors with CRIS profile

Eva Grüne Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit Johanna Popp Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit Eva Lorenz Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit Johannes Carl Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit Verena Hartung Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit Klaus Pfeifer Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit

How to cite

APA:

Grüne, E., Popp, J., Lorenz, E., Carl, J., Hartung, V., & Pfeifer, K. (2026). From initiation to long-term implementation: Evaluating the implementation status and factors influencing implementation of interventions promoting physical activity-related health competence in German nursing education. Paper presentation at HEPA EUROPE 2026, Ljubljana, SI.

MLA:

Grüne, Eva, et al. "From initiation to long-term implementation: Evaluating the implementation status and factors influencing implementation of interventions promoting physical activity-related health competence in German nursing education." Presented at HEPA EUROPE 2026, Ljubljana 2026.

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