The health status of students has continued deteriorate in the last few years. The willingness to risk unhealthy behavior in children and adolescents continues to rise. Through health promotion in schools these developments can be counteracted. The aim of this literature study is to work out how health promotion can be implemented in schools.. In Anglo-American and Scandinavian countries, nurses in schools have maintained for decades. Their main task is to promote the health of pupils and to respond to their current health problems. The primary goal of School Health Nurses, is to maintain the health of pupils and students and to provide academic success. To achieve this school health nurses have eleven major issue areas. The introduction of School Health Nurses in German-speaking countries appears to be a promising approach to promote the health of pupils. Especially the variety of political structures, the concept of school health nurses, however, has not yet been implemented there.