Open Access

Employee health is an important factor for individual and organizational performance. In particular the healthcare sector is characterized by high physical and mental demands that result in poor employee health and high levels of sick leave. One way to support employee health at the workplace is through leadership. By creating a healthy work environment and climate, leadership can promote employee health and well-being, in particular health-specific leadership. Health-specific leadership can be understood as managers explicit focus on employee health. However, there has been scant insights into contextual factors that are relevant for health-specific leadership. This dissertation aims to investigate the relevance of contextual factors for health-specific leadership and its relationship with employee health. Three studies were conducted to identify relevant individual and work-related characteristics for health-specific leadership as well as to investigate the influence of specific individual and organizational factors. The first study is a questionnaire-based survey with 861 healthcare employees. Its findings show a positive relationship between health-specific leadership and employee health in the healthcare sector. Social demands and social resources are analysed as mediating factors. Furthermore, the affective commitment of employees is considered as an additional outcome of health-specific leadership. The second study identifies drivers and barriers for health-specific leadership in an explorative design based on 51 interviews with healthcare managers and collates these factors with the theoretical background. The findings show various influencing factors relating to leadership, employees, and the organization. The third study investigates the influence of individual factors on health-specific leadership and is based on a questionnaire survey among 525 healthcare employees. Managers personal initiative and employee self-care influence the relationship between health-specific leadership and employee burnout in different ways. In summary, this dissertation contributes to the literature by putting health-specific leadership into context and providing insights into influencing factors. The findings broaden the understanding of how health-specific leadership can influence employee health. The implications for theory and practice are discussed and directions for future research are outlined.