Proactive eco-initiatives in healthcare: Exploring the role of motivation, organizational culture, and leadership

This research aims to investigate the antecedents of employee eco-initiatives toconcerning public service motivation, green work climate, employee environmental concern and supervisor environmental priority in Malaysia's healthcare sector. Based on the structural equation modeling (SEM) analysis with the help of SMART-PLS, it was found that public service motivation positively influences eco-initiatives in a direct and indirect manner through green work climate and employee environmental concern. The results stress the role of intrinsic motivation and organizational culture in changing people's behaviors sustainably. Healthcare organizations should encourage public service motivation, develop a supportive green work climate, and integrate environmental leadership to support sustainability. This research advances the field by proposing a holistic framework that captures both the organizational and personal antecedents of eco-initiatives in an environment where service demands are high.