From Vision 2030 to Patient-Safe Green Hospitals: The BRIGHT Green Care Program as a Nursing-Led Conceptual Framework for Sustainable Healthcare in the Gulf Region | ||
| Egyptian Journal of Health Care | ||
| Volume 16, Issue 4, December 2025, Pages 376-398 PDF (356.62 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2025.465662 | ||
| Authors | ||
| Selwan Hamza Elgazzar1; Yasmin Moustafa Ayoub; Eman Ramadan shabib; Nora Saad Alasbah; Zeinab Mohsen El Seyofy; Badryah Awad Alshehri2; Hyam Refaat Tantawi3 | ||
| 1MSN selwan hamza Elgazzar Nursing Education Administration, King Saud Medical City | ||
| 2PhD, MN, BSN, Diploma in Critical Care Diploma TOT, Saudi Commission for Health Specialties CPHQ 2024 Health Care Economics 2024, Harvard University Associate Executive Director of Nursing, R1,Chief Nursing Office, Research supervisor | ||
| 3PhD, Diploma in Handicapped Rehabilitation , Diploma in Educational Institution Management and AccreditationProfessor of Pediatric, Vice Dean for Community Service and Environmental Development, Faculty of Nursing, Ain Shams University | ||
| Abstract | ||
| Background: Healthcare systems are highly resource-intensive, with hospitals contributing significantly to environmental degradation through excessive energy and water consumption, complex supply chains, and hazardous waste generation. The sector accounts for approximately 4.4% of global net greenhouse gas emissions, surpassing the aviation industry. While international frameworks like the Global Green and Healthy Hospitals (GGHH) network and the NHS Net Zero strategy provide roadmaps for sustainable transformation, initiatives in the Gulf region remain predominantly engineering-focused, lacking integration of clinical, and specifically nursing, leadership. Aim: This study aims to present and critically analyze the BRIGHT Green Care Program, a novel, nursing-led conceptual framework designed to systematically integrate environmental sustainability with patient safety protocols in hospitals across the Gulf region, in alignment with the strategic objectives of Saudi Vision 2030. Methods: The BRIGHT framework was developed as a conceptual model through a synthesis of international evidence, regional policy analysis, and theoretical structuring. Its architecture incorporates a four-phase implementation timeline (Preparation, Implementation, Expansion, Optimization) and is operationalized through five core domains: Sustainable Medical Supplies; Sustainable Nutrition and Food Safety; Resource Efficiency and Digital Transformation; Circular Economy and Waste Valorization; and Biohazardous and Chemical Waste Management. Each domain is linked to specific, measurable Key Performance Indicators (KPIs), weighted scoring dashboards, and practical evaluation tools, such as an Eco-Friendly IV Set Checklist. Results: The framework establishes a scalable, nurse-led model for sustainable healthcare. It positions nursing leadership as the central driver for transforming hospital operations, effectively bridging critical gaps between environmental stewardship and clinical care. The structured approach enables institutions to reduce toxic exposures, enhance resource efficiency, and decrease their environmental footprint, while simultaneously advancing patient safety and aligning with both Saudi Vision 2030 and global sustainability agendas. Conclusion and Recommendations: The BRIGHT Green Care Program constitutes the first comprehensive, nursing-led conceptual framework for sustainable healthcare in the Gulf region. It demonstrates that environmental responsibility and patient safety are synergistic goals. Its adoption is recommended to guide hospital policy, procurement, and practice. Further, it is imperative for policymakers to empower nursing leadership in sustainability governance, and for future research to empirically evaluate the framework's impact on clinical, operational, and environmental outcomes across diverse contexts. Widespread adoption can accelerate the transition of Gulf hospitals into safer, greener, and more resilient institutions. | ||
| Keywords | ||
| Nursing Leadership; Healthcare Sustainability; Conceptual Framework; Patient Safety; Green Hospital; Saudi Vision 2030; Environmental Stewardship | ||
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