ArticleHealthcare management forum2023
Barriers and enablers to implementing environmentally sustainable practices in healthcare: A scoping review and proposed roadmap.
Article in Healthcare management forum, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Increasing the environmental sustainability of operating rooms in Canada: an evidence-informed guideline for policy.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Guideline
- Sustainability in Neurointervention-Results from an Exploratory International Cross-sectional Online Survey Among Peers.Clinical neuroradiology · 2026Article
- The Green Planet: development and early evaluation of a novel method for climate actions in clinical practice.BMC health services research · 2026Article
- Advancing Sustainable Healthcare in Obstetric and Maternity Nursing: Nurses' Knowledge, Awareness, and Clinical Practice-A Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- Staff Attitudes Toward Healthcare Waste Separation: An Exploratory Survey from a Triple-Bottom-Line Perspective.Healthcare (Basel, Switzerland) · 2026Article
- Enablers and barriers for using reusable trocars: a qualitative study of surgeons' and residents' perspectives.Surgical endoscopy · 2026Article
- Determinants of sustainable quality improvement for operating room clean air systems: a two-phase sequential qualitative study in Dutch hospitals.BMC health services research · 2026Article
- Article
- Decarbonizing the Spanish Health System: A Qualitative Study on the Implementation of Environmental Regulations and Management Strategies in Health Institutions.Healthcare (Basel, Switzerland) · 2026Article
- Reducing the carbon footprint and costs of laparoscopic cholecystectomy: a modelling study on interventions for sustainable surgery.Surgical endoscopy · 2026Article
- Climate change literacy and environmental stewardship in neonatal intensive care: a mixed-methods study of nursing practice patterns.BMC nursing · 2026Article
- Article
- Telehomecare as a Catalyst for a Multifaceted Transformation Towards Sustainable Practices: A Qualitative Study From a Practical Nurses' Perspective.Journal of advanced nursing · 2026Article
- Sustainability in Telehomecare: Exploring Practical Nurses' Perceptions, Engagement, and Leadership Implications.Journal of nursing management · 2026Article
- Sustainability in Injectable Drug Delivery Devices: A Systematic Literature Review of Environmental, Economic, and Public Health Impacts.Environmental health insights · 2026Review
- Planetary health and environmentally sustainable healthcare: perceptions of primary care practitioners in Ireland - a qualitative study.BMJ open quality · 2025Article
- Towards greener care: understanding sustainability awareness among nursing students through qualitative inquiry.BMC nursing · 2025Article
- Sustainable health care in a renal centre - carbon saving is coupled with cost-efficiency.Journal of nephrology · 2025Article
- Use of physical activity by occupational therapists and speech-language therapists in KwaZulu-Natal.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
- The role of environmental impact assessments in hospital care: Healthcare professionals' views on research and implementation priorities.Health research policy and systems · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This scoping review sought to identify the barriers and enablers to implementing environmentally sustainable practices in healthcare, as well as propose a multi-phased approach to enable such implementation. The three concepts guiding the search were (1) environmental sustainability; (2) healthcare; and (3) barriers or enablers. The PRISMA checklist for scoping reviews was used to guide this search. A total of 16 articles were included and reviewed for data extraction. While most articles focused on healthcare in general, dentistry and surgery were the most recurring clinical areas of focus. Barriers and enablers were related to the individual (e.g. knowledge, skills, and attitude), institutional (e.g. budget, strategy, and readiness), geographical/infrastructural (e.g. infrastructure and public awareness), political (e.g. regulations and incentives), and other (e.g. patient awareness and knowledge). A key enabler identified was having transformational leadership with a clear vision and collaborative approach.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.