Sustainable Healthcare Practices: Advancing Eco-Friendly Laboratory Management, Integrating Green Initiatives in Nursing Education, and Promoting Value-Based Approaches in General Medicine
DOI:
https://doi.org/10.64483/jmph-72Keywords:
eco-friendly laboratories, sustainable healthcare, value-based care, nursing education, environmental sustainability.Abstract
Background: The healthcare sector is a significant contributor to environmental damage, with 4.4% of global greenhouse gas emissions from healthcare and large quantities of waste such as single-use plastics and biohazardous waste. As the effects of climate change accelerate, health care systems need to implement sustainable health practices that use the least harmful and minimally damaging methods and still provide care for health and well-being. Aim: This review analyzed eco-friendly lab management, green initiatives in nursing education, and value-based general medicine to develop pathways to sustainable health practices in health care. Methods: A systematic review of the literature was completed using PubMed, Google Scholar, and CINAHL Ultimate. Inclusion criteria limited review to studies published within the past decade, from 2015-2025, and all peer-reviewed studies. Search terms included “sustainable health care”, “Eco-friendly lab management”, “nursing education green initiatives”, and “value-based medicine”. Results: Eco-friendly lab management modeled sustainability by reducing energy use by 20-30% and reducing waste by 20-40% using energy-efficient technologies and sustainable procurement. Nursing education modeled sustainability practices, introducing innovation to increase sustainability consciousness up to 35%, and trained nurses were 40% more likely to incorporate the newly introduced green practices into their nursing interventions. Models of value-based care, including telehealth and green-prescribing, improved sustainability and reduced emissions by 7-12%. Conclusions: Interdisciplinary collaboration, policy support, and education/processes are required to promote scalable practices for sustainable healthcare. Future research needs to work. Specifically, the research we need to conduct should focus on creating cost-effective technologies and emphasizing cross-culturally applicable technologies.
Keywords: eco-friendly laboratories, sustainable healthcare, value-based care, nursing education, environmental sustainability.
References
Abdu Asiri, B. A., Almutairi, R. M., Alfadhel, R. M., hawsawi, N. N. A., Faqeehi, S. M., & Alshammari, E. M. (2025). Technology-Driven Nursing Interventions to Support Telehealth in Cardiac Primary Care. Saudi Journal of Medicine and Public Health, 2(2), 137–146. https://doi.org/10.64483/jmph-67
Al Atiyyah, A. H., Al Mutairi, D. M., Al Johani, K. I., Al Mutairi, M. B., Al Abdaly, H. S., Albreak, I. A., … Alrasheedi, W. A. (2024). Laboratory-Nursing Partnerships in Managing Multi-Drug-Resistant Organisms (MDROs): A Comprehensive Review. Saudi Journal of Medicine and Public Health, 1(1), 154–164. https://doi.org/10.64483/jmph-73
Aljehani, M. R., & Alhayek , A. A. (2024). Renal Function Assessment: Core Responsibilities of Clinical Pathologists and Laboratory Technicians in Diagnostic Evaluation. Saudi Journal of Medicine and Public Health, 1(1), 65–74. https://doi.org/10.64483/jmph-39
Alsharari, I. S. A., ALSHARARI, A. M. D. A., & ALSHARARI, F. S. H. A. (2024). Quality Control of Laboratory Medicine: Preventing Errors for Diagnostic Reliability. Saudi Journal of Medicine and Public Health, 1(1), 114–123. https://doi.org/10.64483/jmph-52
Álvarez-Nieto, C., Richardson, J., Navarro-Perán, M. Á., Tutticci, N., Huss, N., Elf, M., ... & López-Medina, I. M. (2022). Nursing students' attitudes towards climate change and sustainability: A cross-sectional multisite study. Nurse education today, 108, 105185.
Barratt, A., & McGain, F. (2021). Overdiagnosis is increasing the carbon footprint of healthcare. bmj, 375.
Chung, S. J., Lee, H., & Jang, S. J. (2024). Factors affecting environmental sustainability attitudes among nurses–Focusing on climate change cognition and behaviours: A cross‐sectional study. Journal of advanced nursing.
Eckelman, M. J., & Sherman, J. (2016). Environmental impacts of the US health care system and effects on public health. PloS one, 11(6), e0157014.
Eckelman, M. J., Sherman, J. D., & MacNeill, A. J. (2018). Life cycle environmental emissions and health damages from the Canadian healthcare system: an economic-environmental-epidemiological analysis. PLoS medicine, 15(7), e1002623.
Fadda, J. (2019, December). Green healthcare system: Main features in supporting sustainability of healthcare system—A review. In Green Buildings and Renewable Energy: Med Green Forum 2019-Part of World Renewable Energy Congress and Network (pp. 113-128). Cham: Springer International Publishing.
Freese, T., Kat, R., Lanooij, S. D., Böllersen, T. C., Roo, C. M. D., Elzinga, N., ... & Feringa, B. L. (2024). The relevance of sustainable laboratory practices and Green Labs. Integrating sustainable chemistry into research and industry for a circular economy, 317.
Karliner, J., Slotterback, S., Boyd, R., Ashby, B., Steele, K., & Wang, J. (2020). Health care’s climate footprint: the health sector contribution and opportunities for action. European journal of public health, 30(Supplement_5), ckaa165-843.
Ketcherside, D. T., Miller, D. D., Kenerson, D. R., Scott, P. S., Andrew, J. P., Bakker, M. A., ... & Johnston, N. A. (2024). Effects of Wildfire Smoke on Volatile Organic Compound (VOC) and PM2. 5 Composition in a United States Intermountain Western Valley and Estimation of Human Health Risk. Atmosphere, 15(10), 1172.
Lee, B., Liu, K., Warnock, T. S., Kim, M. O., & Skett, S. (2023). Students leading students: a qualitative study exploring a student-led model for engagement with the sustainable development goals. International Journal of Sustainability in Higher Education, 24(3), 535-552.
Lee, J., Kim, H., & Kron, F. (2024). Virtual education strategies in the context of sustainable health care and medical education: A topic modelling analysis of four decades of research. Medical Education, 58(1), 47-62.
Lising, D., Copley, J., Hill, A., Martyniuk, J., Patterson, F., Quinlan, T., & Parker, K. (2025). Exploring the “led” in health professional student-led experiences: A scoping review. Advances in Health Sciences Education, 30(3), 1007-1036.
Lokmic-Tomkins, Z., Davies, S., Block, L. J., Cochrane, L., Dorin, A., Von Gerich, H., ... & Peltonen, L. M. (2022). Assessing the carbon footprint of digital health interventions: a scoping review. Journal of the American Medical Informatics Association, 29(12), 2128-2139.
Malik, A., Lenzen, M., McAlister, S., & McGain, F. (2018). The carbon footprint of Australian health care. The Lancet Planetary Health, 2(1), e27-e35.
Martín-García, J., Dies Álvarez, M. E., & Afonso, A. S. (2024). Understanding Science teachers’ integration of active methodologies in Club settings: An exploratory study. Education Sciences, 14(1), 106.
Musa, K., Okoliegbe, I., Abdalaziz, T., Aboushady, A. T., Stelling, J., & Gould, I. M. (2023). Laboratory surveillance, quality management, and its role in addressing antimicrobial resistance in Africa: a narrative review. Antibiotics, 12(8), 1313.
Olaiya, B. C., Aliyu, S., Obeagu, E. I., & Lawan, M. M. (2025). Sustainable building practices for modern clinical laboratories. Discover Civil Engineering, 2(1), 74.
Patel, K. M., Thomas, T., Heron, D. E., Mantz, C. A., & Mantz, C. (2025). A threat to quality cancer care, accessibility, and sustainability: medicare payment policies and changing utilization patterns in radiation oncology. Cureus, 17(3).
Provancha, C. A. (2019). Kaiser Permanente: A Case Study on the Influence of Decentralized Organizational Structure on Supply Chain Transformation (Doctoral dissertation, Northcentral University).
Rickerd, K. P. (2023). Green nursing. Linfield Magazine, 17(2), 7.
Rodgers, B. (2000). Concept analysis: An evolutionary view. IN Rodgers, B. & Knafl, K.(Eds.) Concept Development in Nursing.
Seifert, C., Koep, L., Wolf, P., & Guenther, E. (2021). Life cycle assessment as decision support tool for environmental management in hospitals: a literature review. Health care management review, 46(1), 12-24.
Sharifi, A. Mohammed. (2025). A Review of the Impacts of Climate Change on Emergency Medicine: Increased Natural Disasters and Their Related Health Impacts. Saudi Journal of Medicine and Public Health, 2(1), 21–29. https://doi.org/10.64483/jmph-25
Sharma, V., Jamwal, A., Agrawal, R., & Pratap, S. (2025). A review on digital transformation in healthcare waste management: Applications, research trends and implications. Waste Management & Research, 43(6), 828-849.
Tantray, J., Patel, A., Wani, S. N., Kosey, S., & Prajapati, B. G. (2024). Prescription precision: a comprehensive review of intelligent prescription systems. Current pharmaceutical design, 30(34), 2671-2684.
Van Staalduinen, D. J., van den Bekerom, P., Groeneveld, S., Kidanemariam, M., Stiggelbout, A. M., & van den Akker-van Marle, M. E. (2022). The implementation of value-based healthcare: a scoping review. BMC Health Services Research, 22(1), 270.
Wang, J., Shen, J., Ye, D., Yan, X., Zhang, Y., Yang, W., ... & Pan, L. (2020). Disinfection technology of hospital wastes and wastewater: Suggestions for disinfection strategy during coronavirus Disease 2019 (COVID-19) pandemic in China. Environmental pollution, 262, 114665.
Watts, N., Amann, M., Arnell, N., Ayeb-Karlsson, S., Beagley, J., Belesova, K., ... & Costello, A. (2021). The 2020 report of The Lancet Countdown on health and climate change: responding to converging crises. The lancet, 397(10269), 129-170.
Weathers, M. R., Mosher, M. M., & Maibach, E. (2020). Communicating the public health implications of climate change. In Research handbook on communicating climate change (pp. 259-271). Edward Elgar Publishing.
Wong, M., Tryliskyy, Y., Rashid, R., Barman, M. S., Shuymeko, M. V., Sharma, M. A., & Hossain, M. M. (2024). Diagnostic Test Accuracy of Detecting Donor-derived Cell-free DNA in Renal Transplant Rejection: A Systematic Review and Meta-analysis. Transplantation, 108(9 S).
Yeboah, E. A., Adegboye, A. R. A., & Kneafsey, R. (2024). Nurses’ perceptions, attitudes, and perspectives in relation to climate change and sustainable healthcare practices: A systematic review. The Journal of Climate Change and Health, 16, 100290.
Zoromba, M. A., & El-Gazar, H. E. (2025). Nurses’ attitudes, practices, and barriers toward sustainability behaviors: a qualitative study. BMC nursing, 24(1), 437.

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Copyright (c) 2025 Reem magbol wali magfori, Rawan hussain ahmed makki, Abdulaziz Abdullah Abdulaziz Bin Mohize, Abdulhakeem Mohammed Ahmed Alsalem, Ali Hosain Bojbara, khalid Dhewaihi almutairi, Fahad Saeed Ahmed Alqahtani, Huda Awad Mohammed Aljabri, MOHAMMED SALEM ALMOTAIRI, Asael muhmmed alhazmi

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