Fostering Sustainability in Healthcare: The Role of Green Transformational Leadership in Shaping Nurses’ Green Behavior and Advancing | ||
| Egyptian Journal of Health Care | ||
| Volume 16, Issue 4, December 2025, Pages 302-343 PDF (706.75 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2025.465653 | ||
| Authors | ||
| Eman Ramadan Shabib; Yasmin Moustafa Ayoub; Selwan Hamza Elgazzar; Ahmed Nofal Abu Alkebash; Saad Alshahrani; Raeed Alanazi | ||
| Nursing Improvement Administration | ||
| Abstract | ||
| Background: Healthcare systems contribute significantly to environmental degradation through high energy use, medical waste, and reliance on toxic materials, posing a challenge to align patient safety with sustainability. While frameworks such as WHO’s climate-resilient health systems provide strategic direction, operational pathways for frontline implementation remain underdeveloped. Aim: This study explores the role of Green Transformational Leadership (GTL) in shaping nurses’ green behavior and advancing Green Hospital outcomes, with the aim of proposing an integrated framework that bridges global sustainability goals and daily clinical practice. Design: A narrative review approach was applied, synthesizing evidence from peer-reviewed literature, WHO technical guidance, and recent empirical studies (2010–2025). Sources were analyzed thematically across domains of leadership, workforce engagement, hospital sustainability standards, and governance mechanisms. Results: The findings confirm that GTL plays a decisive role in motivating nurses—who represent nearly 70% of the hospital workforce—to adopt eco-friendly practices such as waste segregation, energy and water conservation, and the use of safer materials. Nurses’ green behavior acts as a mediating factor, translating leadership vision into measurable environmental performance. These behaviors, when reinforced by hospital-wide sustainability policies and procurement practices, contribute directly to achieving Green Hospital standards (e.g., WHO and GGHH benchmarks). The analysis also identifies barriers such as funding gaps and weak governance, alongside enablers like training, strong leadership, and regulatory alignment. Conclusion: This study highlights GTL as the pivotal link between leadership vision, nurses’ daily practices, and systemic sustainability outcomes. By embedding environmental stewardship within nursing leadership, the proposed framework offers a novel, nurse-centered pathway to operationalize the Green Hospital model. Contribution: Unlike prior studies focusing only on policies or infrastructure, this research uniquely demonstrates how leadership-driven nursing behavior can transform sustainability from abstract goals into institutionalized practice, providing a replicable roadmap for healthcare systems worldwide. | ||
| Keywords | ||
| Green Transformational Leadership (GTL); Nurses’ Green Behavior; Green Hospital; and Sustainable Healthcare | ||
|
Statistics Article View: 57 PDF Download: 18 |
||
