Health Promoting Hospitals (HPH) is a form of setting-based health promotion initiated by WHO in 1988, which continues to expand and has been taking root in many regions around the world. A health promoting hospital aims to ‘improve health gain for its stakeholders by developing structure, cultures, decisions and process’ (WHO-EURO, 2007, p. 6). The European Pilot Hospital Project has demonstrated the feasibility and applicability of HPH for all types and sizes of hospitals in widely diverse health systems (Pelikan, Lobnig, & Krajic, 1997). Recent HPH research presented the outcome of HPH in pro-health promotion organisational capacity building (Tountas, Pavi, Tsamandouraki, Arkadopoulos, & Triantafyllou, 2004), improved employee job satisfaction (Nowak, Lobnig, Krajic, & Pelikan, 1998), and modest improvements in staff and patient health (Tountas, et al., 2004; Whitelaw, Martin, Kerr, & Wimbush, 2006). However, there is still a dearth of systematic evaluation and rigorous research on the HPH approach (Mchugh, Robinson, & Chesters, 2010a).