The Behavioral Intention of Hospitals to Promote Sustainable Development of Green Healthcare from the Perspective of Organizational Stakeholders during the COVID-19 Epidemic: A Case Study of Hospitals in Taiwan

Abstract

When the World Health Organization (WHO) analyzed the culprits of global warming, it was found that in developed countries with relatively few high-polluting heavy industries, the medical sector is one of the sources of high-density carbon emissions. Therefore, the medical industry has a noticeable impact on the environment. Amid the current COVID-19 epidemic, this study adopts the theory of planned behavior (TPB), widely used in decision-making science. We selected a regional teaching hospital with 339 employees in Taiwan to obtain valid questionnaire data. We explore the comparative analysis of different intra-organizational stakeholders’ “attitudes,” “subjective norms,” and “perceived behavioral control” on the hospital’s behavioral intention to promote green healthcare. The results show that the TPB model has reliable explanatory power. All three factors have a positive and significant effect on promoting green hospital behavior. Among them, perceived behavioral control was the most notable. A comparative analysis of the differences among stakeholders in the research model shows that “medical administrators” and “nursing staff” have a higher proportion of significant influence effects in various hypotheses, highlighting the critical roles of these two groups in promoting green hospitals. This research policy suggests that the cross-departmental staff in the hospital put forward green innovation ideas, strengthen internal environmental education and management, establish a good incentive system for front-line nursing staff, and implement the sustainable development strategy of the hospital.

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“…In addition, public transportation facilities, such as public transportation and pedestrian paths, must be available and easily accessible. The hospital also acts as an environmentally friendly education center by conducting socialization, training, seminars and providing information about environmentally friendly practices through magazines, posters, banners and instructions in and around the hospital (Lee et al , 2023). The cleanliness of hospital rooms, yards, facilities, infrastructure and equipment must also be maintained by using cleaning materials and cleaning equipment that are nontoxic and safe for the environment (Alhmoud et al , 2020).…”

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“…In the current context, the rapid expansion of worldwide populations and economic endeavors has intensified apprehensions regarding environmental degradation (ED, hereafter), thereby necessitating an increased emphasis on this matter [1]. The increasing significance of ED has emphasized the necessity of evaluating the effectiveness of various environmental policy instruments.…”

“…In order to tackle this matter effectively, nations must undertake measures aimed at mitigating carbon emissions, curbing energy consumption, and regulating various activities that contribute to the contamination of air, water, and land resources. Notwithstanding, the issue of environmental pollution persists as a formidable global challenge, as discernible and substantial advancements in the reduction of CO 2 emissions and other pollutants have yet to materialize [1,9]. While individuals who have been directly impacted by pollution may have the option to seek legal recourse within the existing legal framework, the limitations of such instruments become evident when the harm caused by pollutants is uncertain.…”

“…Human-induced ED encompasses a myriad of detrimental factors, including but not limited to water and air pollution, acid rain, agricultural runoff, urban expansion, and habitat fragmentation. The accelerated depletion of natural resources is a consequence of the heightened demand [1]. Additional factors contributing to ED encompass anthropogenic land disturbance, pollution, population growth, landfills, deforestation, and natural calamities [12].…”

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“…The nexus between financial development, foreign direct investment, and renewable energy consumption is a complex and interconnected relationship. It requires a comprehensive and integrated approach from policymakers, financial institutions, and stakeholders to promote sustainable development and accelerate the transition towards a clean energy future (16)(17)(18). The nexus between financial development, foreign direct investment, and renewable energy consumption is becoming increasingly important (19)(20)(21)(22)(23)(24)(25)(26).…”