Exploratory examination of environmental protection behaviors in a hospital setting using the theory of planned behavior and ethical leadership

Abstract

Abstract Most research focused on understanding the general environmental awareness or attitudes around the world, targeting residents, students, or undergraduates. There were limited attempts to understand the environmental protection behaviors in Taiwan healthcare sector. A questionnaire survey was designed with current healthcare personnel in Taiwan as target population. From the theory of planned behavior and ethical leadership, structural equation modelling allowed a better explanation of the social-psychological indicators affecting environmental protection behaviors in the healthcare sector. Attitude, subjective norms and perceived behavioral control are positively impacted by ethical leadership. Environmental protection behavior is significantly influenced by environmental protection intention, while environmental protection intention is strongly affected by perceived behavioral control which is the strongest predictor, followed by attitude. However, there is insignificant correlation of subjective norms to environmental protection intention, due to the weaken social connection among healthcare personals, especially with the heavily burdened workload and restrictive measure during the COVID-19 crisis in a hospital environment.