Proactive Environmental Strategies in Healthcare Organisations: Drivers and Barriers in Italy

Pinzone, Marta; Lettieri, E.; Masella, Cristina

doi:10.1007/s10551-014-2275-8

Cited by 46 publications

(60 citation statements)

References 72 publications

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“…Their low level of knowledge and skills regarding environmental issues and possible negative attitudes towards a bureaucratic management system-which is introduced in a top-down approach and is not directly related to or even competes with their core business-can, according to our interviewees, cause problems at the beginning as well as during the implementation of EMAS. Pinzone et al [48] showed that the lack of environmental commitment is among the more significant barriers for adoption of proactive environmental strategies in healthcare organizations in Italy. They attribute this to the specific nature of this sector (i.e., having different key decision makers from different professional groups on several organizational levels).…”

Section: Discussionmentioning

confidence: 99%

“…Their core mission encompasses the safe treatment of patients and ensuring high standards of living. In the sustainability debate, they have long been overlooked [48]. The sustainability challenge for hospitals is said to encompass three key factors that need to be balanced: the needs of patients, economic issues, and environmental issues [49].…”

Section: Introductionmentioning

confidence: 99%

“…They pose environmental risks that can lead to health burdens [61,62] and more demand for medical treatment. However, hospitals are slow in adopting proactive environmental strategies [48].…”

Section: Introductionmentioning

confidence: 99%

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The Barriers for Voluntary Environmental Management Systems—The Case of EMAS in Hospitals

Seifert

2018

Sustainability

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Abstract:The adoption of formal environmental management systems (EMS) according to EMAS (Eco-Management and Audit Scheme) represents a voluntary approach that aims to increase corporate environmental performance. Though EMAS can offer several advantages for organizations, registration numbers are falling. In the hospital sector, the dissemination of EMAS is low. The question arises as to what hinders hospitals when planning, implementing, and maintaining such voluntary environmental management initiatives. The results from interviews with environmental managers in EMAS registered hospitals reveal problems such as high initial effort for creation of the required documents, or lacking knowledge and staff awareness. The barriers are presented in a model synthesizing the problems chronologically on the organizational, group, and individual level. The challenges for the adoption of EMAS as a voluntary environmental management approach in hospitals are discussed. This paper contributes by creating an understanding of the barriers organizations might face when implementing an EMS. Thus, measures to actively manage and overcome barriers can be developed by organizations, consultants, reviewers, policy makers, and researchers.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Barriers for Voluntary Environmental Management Systems—The Case of EMAS in Hospitals

Seifert

2018

Sustainability

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“…These financial constraints have affected hospitals, which are required to improve both the quality and the efficiency of their services [2]. As a result, healthcare professionals have to rethink care delivery [3] according to the human and economic resources available, and by managing the tensions between high-quality and safe delivery of care and cost containment [4,5].…”

Section: Introductionmentioning

confidence: 99%

What drives hospital wards’ ambidexterity: Insights on the determinants of exploration and exploitation

et al. 2019

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a b s t r a c tObjectives: Hospital wards are required to exploit current knowledge and explore for new knowledge. Ambidexterity (i.e., the capability to combine both exploitation and exploration) is a major issue in healthcare as result of the growing expectations that hospitals wards have the capability to manage the trade-off between high-quality delivery of care and cost-containment. This study sheds novel light on the determinants of ambidextrous behaviours in hospital wards. Methods: A theoretical framework has been built on the extant literature. The main determinants of ambidexterity are opening/closing leadership, organisational support, organisational creativity and environmental dynamism. The model has been tested empirically through data collected via survey administered to head physicians in charge of hospital wards. After the quality check, 80 questionnaires were available for the statistical analysis based on a hierarchical sequential linear regression model (with enter methodology). Results: Results showed that opening (␤ = 0.389;p < 0.001) and closing (␤ = 0.288;p < 0.01) leadership, as well as organisational creativity (␤ = 0.499 p < 0.001) are necessary to materialize ambidextrous behaviours (Adj.R 2 = 0.529). Environmental dynamism does not moderate these relationships. While opening leadership (␤ = 0.375;p < 0.01), organisational creativity (␤ = 0.270;p < 0.05) and environmental dynamism (␤ = 0.224;p < 0.1) are determinants of exploration, closing leadership (␤ = 0.506;p < 0.001) and organisational creativity (␤ = 0.529;p < 0.001) are determinants of exploitation. Conclusions: Head physicians' leadership style as well as organizational creativity play a pivotal role in materializing ambidextrous behaviours in wards.

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“…The existence of training related to Hospital Waste (HW) and the waste management process in health units is fundamental in order to provide professionals with specific knowledge, minimizing the risks inherent to health and the environment (1). There are several guidelines published by the Directorate General for Health in the area of organizational quality , which recommend the implementation of a set of good practices with a consecutive impact on infection control (BPIC -Basic Precautions for Infection Control) and financial impact reduction.…”

Section: Introductionmentioning

confidence: 99%

Training and Knowledge of Health Professionals about Hospital Waste and its Risks in a Central Hospital

Edra¹,

Magalhães

Maia

et al. 2018

BBR

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Biomedical Sciences │ Ciências BiomédicasBiomed Biopharm Res. , 2018; (15) 1: , 55-62 Biomedical and Biopharmaceutical Research J o r n a l d e I n v e s t i g a ç ã o B i o m é d i c a e B i o f a r m a c ê u t i c a 55 Training and Knowledge of Health Professionals about Hospital Waste and its Risks in a Central Hospital AbstractThe knowledge retention and application after training / awarness of health professionals for the management of Hospital Waste (HW) is a demanding Key Performance Indicator (KPI) for the waste management process to be the most effective and efficient. This study presents the data about the frequency of training sessions / awarness by the professionals of a Central Hospital, the approach to the risks inherent to health and the environment, as well as the knowledge perceived by the trainees. It was concluded that although most of the professionals have training in the area with the coverage of the themes related to the risks inherent to HW, they recognize that their knowledge is insufficient. Keywords: Hospital waste, Training, Risks to Health and Environment, Knowledge ResumoA retenção de conhecimento e sua aplicação após formação/sensibilização dos profissionais de saúde na gestão dos Resíduos Hospitalares (RH) é um Indicador de Desempenho Fundamental (KPI-Key Performance Indicator) para que o processo de gestão seja o mais eficaz e eficiente. Neste estudo apresentam-se os dados relativos à frequência de sessões de formação/sensibilização por parte dos profissionais de um Hospital Central, e à abordagem dos riscos inerentes à saúde e ambiente nas mesmas, bem como do conhecimento percecionado pelos formandos. Concluiuse que apesar da maioria dos profissionais ter formação na área com a abrangência das temáticas relativas aos riscos inerentes aos RH, reconhecem que o seu conhecimento é insuficiente. Palavras-chave:Resíduos Hospitalares, Formação, Riscos para a Saúde e Ambiente, Conhecimento.

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Proactive Environmental Strategies in Healthcare Organisations: Drivers and Barriers in Italy

Cited by 46 publications

References 72 publications

The Barriers for Voluntary Environmental Management Systems—The Case of EMAS in Hospitals

The Barriers for Voluntary Environmental Management Systems—The Case of EMAS in Hospitals

What drives hospital wards’ ambidexterity: Insights on the determinants of exploration and exploitation

Training and Knowledge of Health Professionals about Hospital Waste and its Risks in a Central Hospital

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