Author:
Carl Johannes,Grüne Eva,Popp Johanna,Hartung Verena,Pfeifer Klaus
Abstract
Abstract
Background
Although the nursing sector gains growing importance in an aging society, students representing the future workforce often show insufficient health. Acknowledging the health-enhancing effects of adequate physical activity, the educational system in Bavaria, Germany, has recently integrated the promotion of physical activity-related health competence (PAHCO) into the nursing curriculum. However, it cannot be assumed that PAHCO has sufficiently permeated the educational practices and routines of the nursing schools. Therefore, the goal of the present study is to examine and compare the effectiveness as well as implementation of different intervention approaches to address PAHCO in the Bavarian nursing school system.
Methods
We randomly assign 16 nursing schools (cluster-based) to four study arms (bottom-up, top-down led by teachers, top down led by external physical activity experts, control group). Schools in intervention group 1 (IG-1) develop multicomponent inventions to target PAHCO via cooperative planning (preparation, planning, and implementation phase). Intervention groups 2 and 3 (IG-2, IG-3) receive both an expert-based intervention (developed through intervention mapping) via trained mediators to address PAHCO. External physical activity experts deliver the structured PAHCO intervention in IG-2, while teachers from the nursing schools themselves conduct the PAHCO intervention in IG-3. In line with a hybrid effectiveness implementation trial, we apply questionnaire-based pre-post measurements across all conditions (sample size calculation: nfinal = 636) to examine the effectiveness of the intervention approaches and, simultaneously, draw on questionnaires, interview, and protocol data to examine their implementation. We analyze quantitative effectiveness data via linear models (times-group interaction), and implementation data using descriptive distributions and content analyses.
Conclusion
The study enables evidence-based decisions about the suitability of three intervention approaches to promote competencies for healthy, physically active lifestyles among nursing students. The findings inform dissemination activities to effectively reach all 185 schools of the Bavarian nursing system.
Trial registration
Clinical trials NCT05817396. Registered on April 18, 2023.
Funder
Bavarian State Ministry for Health, Nursing and Prevention
KKH Kaufmännische Krankenkasse
Friedrich-Alexander-Universität Erlangen-Nürnberg
Publisher
Springer Science and Business Media LLC
Reference68 articles.
1. World Health Organization. State of the World’s Nursing 2020: Investing in education, jobs and leadership. 2020. https://apps.who.int/iris/rest/bitstreams/1274201/retrieve. Accessed 16 Aug 2023.
2. International Council of Nurses. International Nurses Day Report. 2023. https://www.icn.ch/sites/default/files/2023-07/ICN_IND_2023_Report_EN.pdf. Accessed 023–08–16.
3. Statistisches Bundesamt. Pflege - Pflegebedürftige nach Versorgungsart, Geschlecht und Pflegegrade. 2021. https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Gesundheit/Pflege/Tabellen/pflegebeduerftige-pflegestufe.html. Accessed 14 Oct 2023.
4. Bundesagentur für Arbeit. Arbeitsmarktsituation im Pflegebereich. 2023. https://statistik.arbeitsagentur.de/DE/Statischer-Content/Statistiken/Themen-im-Fokus/Berufe/Generische-Publikationen/Altenpflege.pdf?__blob=publicationFile. Accessed 24 Oct 2023.
5. Hämel K, Schaeffer D. Who cares? Fachkräftemangel in der Pflege [Who cares? Shortage of skilled nursing staff]. Zeitschrift für Sozialreform. 2013;59:413–31. https://doi.org/10.1515/zsr-2013-0401.