IDEAS home Printed from https://ideas.repec.org/a/wly/corsem/v33y2026i1p577-598.html

Driving Healthcare Socio‐Economic Sustainability Through Green HRM: Innovation and Strategic Environmental Approaches

Author

Listed:
  • Sharifa Khalid Mousa
  • Jose Maria Fernandez‐Crehuet
  • Yousef Ayman Yousef Thaher

Abstract

This study investigates the mediating role of green innovation (GI) in the relationship between green human resource management (GHRM) practices and economic and social performance, while also examining the moderating influence of environmental strategy on the link between GI and performance outcomes within Palestinian healthcare organizations. A quantitative approach was employed using a structured survey, with data analyzed through Partial Least Squares Structural Equation Modeling (PLS‐SEM)—a robust statistical method well‐suited for hypothesis testing in complex models. The findings confirm that GHRM practices and GI both directly and indirectly enhance economic and social performance. Notably, GI was identified as a key mechanism through which GHRM drives sustainable outcomes. However, the study found that environmental strategy does not exert a statistically significant moderating effect on the relationship between GI and performance in this context. These results underscore the critical role of GI in translating HR sustainability practices into tangible organizational benefits. This research contributes to the literature by clarifying the dynamics between GHRM, GI, and sustainable performance in a service sector that has received limited empirical attention—especially in developing and politically constrained contexts such as Palestine. The study offers theoretical insights into how strategic HR and innovation initiatives intersect to support sustainability and provides practical recommendations for healthcare managers and policymakers. In particular, it highlights the transformative potential of GHRM and GI for promoting economic and social sustainability in resource‐constrained environments, offering a valuable roadmap for other developing nations facing similar challenges.

Suggested Citation

  • Sharifa Khalid Mousa & Jose Maria Fernandez‐Crehuet & Yousef Ayman Yousef Thaher, 2026. "Driving Healthcare Socio‐Economic Sustainability Through Green HRM: Innovation and Strategic Environmental Approaches," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 33(1), pages 577-598, January.
  • Handle: RePEc:wly:corsem:v:33:y:2026:i:1:p:577-598
    DOI: 10.1002/csr.70187
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/csr.70187
    Download Restriction: no

    File URL: https://libkey.io/10.1002/csr.70187?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Saqib Yaqoob Malik & Yasir Hayat Mughal & Tamoor Azam & Yukun Cao & Zhifang WAN & Hongge ZHU & Ramayah Thurasamy, 2021. "Corporate Social Responsibility, Green Human Resources Management, and Sustainable Performance: Is Organizational Citizenship Behavior towards Environment the Missing Link?," Sustainability, MDPI, vol. 13(3), pages 1-24, January.
    2. Saima Javed & Zhu Yingjun & Nilesh Kumar & Sikraj Meghwar, 2024. "Green human resource management practices and organizational sustainability performance in Pakistan's healthcare sector: a descriptive analysis," International Journal of Research in Business and Social Science (2147-4478), Center for the Strategic Studies in Business and Finance, vol. 13(1), pages 171-183, January.
    3. Ibrahim A. Elshaer & Abu Elnasr E. Sobaih & Meqbel Aliedan & Alaa M. S. Azazz, 2021. "The Effect of Green Human Resource Management on Environmental Performance in Small Tourism Enterprises: Mediating Role of Pro-Environmental Behaviors," Sustainability, MDPI, vol. 13(4), pages 1-17, February.
    4. Wang Zihan & Zafir Khan Mohamed Makhbul, 2024. "Green Human Resource Management as a Catalyst for Sustainable Performance: Unveiling the Role of Green Innovations," Sustainability, MDPI, vol. 16(4), pages 1-22, February.
    5. Singh, Sanjay Kumar & Giudice, Manlio Del & Chierici, Roberto & Graziano, Domenico, 2020. "Green innovation and environmental performance: The role of green transformational leadership and green human resource management," Technological Forecasting and Social Change, Elsevier, vol. 150(C).
    6. Sun, Yunpeng & Gao, Pengpeng & Tian, Wenjuan & Guan, Weimin, 2023. "Green innovation for resource efficiency and sustainability: Empirical analysis and policy," Resources Policy, Elsevier, vol. 81(C).
    7. Abu Elnasr E. Sobaih & Ahmed Hasanein & Ibrahim Elshaer, 2020. "Influences of Green Human Resources Management on Environmental Performance in Small Lodging Enterprises: The Role of Green Innovation," Sustainability, MDPI, vol. 12(24), pages 1-19, December.
    8. Mohammad Kanan & Baha Taha & Yahya Saleh & Mohammed Alsayed & Ramiz Assaf & Mohamed Ben Hassen & Elham Alshaibani & Ali Bakir & Weam Tunsi, 2023. "Green Innovation as a Mediator between Green Human Resource Management Practices and Sustainable Performance in Palestinian Manufacturing Industries," Sustainability, MDPI, vol. 15(2), pages 1-27, January.
    9. Justyna Berniak-Woźny & Małgorzata Rataj, 2023. "Towards Green and Sustainable Healthcare: A Literature Review and Research Agenda for Green Leadership in the Healthcare Sector," IJERPH, MDPI, vol. 20(2), pages 1-18, January.
    10. Hui Li & Yiyun Li & Muddassar Sarfarz & Ilknur Ozturk, 2023. "Enhancing firms’ green innovation and sustainable performance through the mediating role of green product innovation and moderating role of employees’ green behavior," Economic Research-Ekonomska Istraživanja, Taylor & Francis Journals, vol. 36(2), pages 2142263-214, July.
    11. Nicole F. Richter & Sven Hauff & Christian M. Ringle & Siegfried P. Gudergan, 2022. "The Use of Partial Least Squares Structural Equation Modeling and Complementary Methods in International Management Research," Management International Review, Springer, vol. 62(4), pages 449-470, August.
    12. Yushi Jiang & Syed Imran Zaman & Sobia Jamil & Sharfuddin Ahmed Khan & Li Kun, 2024. "A triple theory approach to link corporate social performance and green human resource management," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 26(6), pages 15733-15776, June.
    13. Ching-Hsun Chang, 2011. "The Influence of Corporate Environmental Ethics on Competitive Advantage: The Mediation Role of Green Innovation," Journal of Business Ethics, Springer, vol. 104(3), pages 361-370, December.
    14. Liuyue Fang & Shengxu Shi & Jingzu Gao & Xiayun Li, 2022. "The mediating role of green innovation and green culture in the relationship between green human resource management and environmental performance," PLOS ONE, Public Library of Science, vol. 17(9), pages 1-24, September.
    15. Waqas Khan & Qasim Ali Nisar & Muhammad Azam Roomi & Sobia Nasir & Usama Awan & Muhammad Rafiq, 2024. "Green human resources management, green innovation and circular economy performance: the role of big data analytics and data-driven culture," Journal of Environmental Planning and Management, Taylor & Francis Journals, vol. 67(10), pages 2356-2381, August.
    16. Saqib Yaqoob Malik & Yukun Cao & Yasir Hayat Mughal & Ghulam Muhammad Kundi & Mudassir Hayat Mughal & T. Ramayah, 2020. "Pathways towards Sustainability in Organizations: Empirical Evidence on the Role of Green Human Resource Management Practices and Green Intellectual Capital," Sustainability, MDPI, vol. 12(8), pages 1-24, April.
    17. Helmi Issa & Rachid Jabbouri, 2022. "Green Innovation in the MENA Healthcare Industry: A Knowledge-Based View," International Journal of Technology and Human Interaction (IJTHI), IGI Global Scientific Publishing, vol. 18(1), pages 1-26, January.
    18. Ergün Kara & Melda Akbaba & Emre Yakut & Makbule Hürmet Çetinel & Mehmet Mert Pasli, 2023. "The Mediating Effect of Green Human Resources Management on the Relationship between Organizational Sustainability and Innovative Behavior: An Application in Turkey," Sustainability, MDPI, vol. 15(3), pages 1-16, January.
    19. Michael Yao-Ping Peng & Li Zhang & Meng-Hsiu Lee & Fang-Yih Hsu & Yan Xu & Yuan He, 2024. "The relationship between strategic human resource management, green innovation and environmental performance: a moderated-mediation model," Humanities and Social Sciences Communications, Palgrave Macmillan, vol. 11(1), pages 1-13, December.
    20. Mohd Yusoff Yusliza & Amirudin Amirudin & Raden Aswin Rahadi & Nik Afzan Nik Sarah Athirah & Thurasamy Ramayah & Zikri Muhammad & Francesca Dal Mas & Maurizio Massaro & Jumadil Saputra & Safiek Mokhli, 2020. "An Investigation of Pro-Environmental Behaviour and Sustainable Development in Malaysia," Sustainability, MDPI, vol. 12(17), pages 1-21, August.
    21. Olawole Fawehinmi & Mohd Yusoff Yusliza & Muhammad Imran Tanveer & Mohammed Sani Abdullahi, 2024. "Influence of green human resource management on employee green behavior: The sequential mediating effect of perceived behavioral control and attitude toward corporate environmental policy," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 31(3), pages 2514-2536, May.
    22. Shuang Ren & Guiyao Tang & Susan Jackson, 2018. "Green human resource management research in emergence: A review and future directions," Asia Pacific Journal of Management, Springer, vol. 35(3), pages 769-803, September.
    23. Paula Benevene & Ilaria Buonomo, 2020. "Green Human Resource Management: An Evidence-Based Systematic Literature Review," Sustainability, MDPI, vol. 12(15), pages 1-25, July.
    24. Anabela Batista Correia & Muhammad Farrukh Shahzad & José Moleiro Martins & Rimsha Baheer, 2024. "Impact of green human resource management towards sustainable performance in the healthcare sector: role of green innovation and risk management," Cogent Business & Management, Taylor & Francis Journals, vol. 11(1), pages 2374625-237, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sharifa Khalid Mousa & Jose Maria Fernandez‐Crehuet & Yousef Ayman Yousef Thaher, 2025. "Advancing Sustainable Performance in Healthcare: Mediating Roles of Green HRM and Green Innovation Under Green Transformational Leadership," Business Strategy and the Environment, Wiley Blackwell, vol. 34(5), pages 5260-5282, July.
    2. Fatimah Mahdy & Mohammad Alqahtani & Faiz Binzafrah, 2023. "Imperatives, Benefits, and Initiatives of Green Human Resource Management (GHRM): A Systematic Literature Review," Sustainability, MDPI, vol. 15(6), pages 1-31, March.
    3. Mahmoud Alreahi & Zoltán Bujdosó & Moaaz Kabil & Ali Akaak & Kata Feketéné Benkó & Widhayani Puri Setioningtyas & Lóránt Dénes Dávid, 2022. "Green Human Resources Management in the Hotel Industry: A Systematic Review," Sustainability, MDPI, vol. 15(1), pages 1-25, December.
    4. Shah Ridwan Chowdhury & Md. Nazmus Sakib & Nehad Laila Sanju & Seeratus Sabah & Farzana Chowdhury & Md. Mahbubur Rahman, 2025. "Aspects and practices of green human resource management: a review of literature exploring future research direction," Future Business Journal, Springer, vol. 11(1), pages 1-17, December.
    5. Shah Ridwan Chowdhury & John Mendy & Mahfuzur Rahman, 2023. "A Systematic Literature Review of GHRM: Organizational Sustainable Performance Reimagined Using a New Holistic Framework," Sustainability, MDPI, vol. 15(9), pages 1-15, May.
    6. Mohammad Kanan & Baha Taha & Yahya Saleh & Mohammed Alsayed & Ramiz Assaf & Mohamed Ben Hassen & Elham Alshaibani & Ali Bakir & Weam Tunsi, 2023. "Green Innovation as a Mediator between Green Human Resource Management Practices and Sustainable Performance in Palestinian Manufacturing Industries," Sustainability, MDPI, vol. 15(2), pages 1-27, January.
    7. Ibrahim A. Elshaer & Alaa M. S. Azazz & Sameh Fayyad, 2023. "Green Human Resources and Innovative Performance in Small- and Medium-Sized Tourism Enterprises: A Mediation Model Using PLS-SEM Data Analysis," Mathematics, MDPI, vol. 11(3), pages 1-17, January.
    8. Thanh Tiep Le & Thoi Le Quan Chau & Lien Tran Thi Ngoc & Thanh Tran Tieu, 2024. "How green transformational leadership drives environmental performance and firm performance? Empirical evidence from an emerging economy," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 31(6), pages 5504-5523, November.
    9. Bassant Adel Mostafa, 2025. "The path to sustainability in the pharmaceutical industry: green HRM’s influence on employee behavior through psychological green climate," Future Business Journal, Springer, vol. 11(1), pages 1-20, December.
    10. Jianfeng Meng & Majid Murad & Cai Li & Ayesha Bakhtawar & Sheikh Farhan Ashraf, 2022. "Green Lifestyle: A Tie between Green Human Resource Management Practices and Green Organizational Citizenship Behavior," Sustainability, MDPI, vol. 15(1), pages 1-19, December.
    11. Bashar Barakat & Marwan Milhem & Gehad Mohammed Ahmed Naji & Mohammed Alzoraiki & Habsah Binti Muda & Ali Ateeq & Zahida Abro, 2023. "Assessing the Impact of Green Training on Sustainable Business Advantage: Exploring the Mediating Role of Green Supply Chain Practices," Sustainability, MDPI, vol. 15(19), pages 1-21, September.
    12. Elif Baykal & Bahar Divrik, 2023. "Employee Involvement in Sustainability Projects in Emergent Markets: Evidence from Turkey," Sustainability, MDPI, vol. 15(18), pages 1-19, September.
    13. Mercedes Úbeda‐García & Bartolome Marco‐Lajara & Patrocinio C. Zaragoza‐Sáez & Encarnación Manresa‐Marhuenda & Esther Poveda‐Pareja, 2022. "Green ambidexterity and environmental performance: The role of green human resources," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 29(1), pages 32-45, January.
    14. Taeuk Kim, 2022. "Assessing the Impacts of Individual and Organizational Factors on South Korea Hotels’ Green Performance Using the AMO Model," IJERPH, MDPI, vol. 19(16), pages 1-16, August.
    15. Huirong Xie & Teck Chai Lau, 2023. "Evidence-Based Green Human Resource Management: A Systematic Literature Review," Sustainability, MDPI, vol. 15(14), pages 1-23, July.
    16. Jorge Alberto Esponda Perez & Faisal Ejaz & Sarmad Ejaz, 2023. "Green Transformational Leadership, GHRM, and Proenvironmental Behavior: An Effectual Drive to Environmental Performances of Small- and Medium-Sized Enterprises," Sustainability, MDPI, vol. 15(5), pages 1-17, March.
    17. Abu Elnasr E. Sobaih & Ahmed Hasanein & Hassane Gharbi & Ahmed E. Abu Elnasr, 2022. "Going Green Together: Effects of Green Transformational Leadership on Employee Green Behaviour and Environmental Performance in the Saudi Food Industry," Agriculture, MDPI, vol. 12(8), pages 1-17, July.
    18. Ahmad Abo Yahya & Pouya Zargar, 2023. "Achieving Corporate Sustainability through Green Human Resource Management: The Role of CSR in the Banking Industry of a Developing Country," Sustainability, MDPI, vol. 15(14), pages 1-17, July.
    19. Ka Yin Chau & Tian Huang & Massoud Moslehpour & Waqas Khan & Qasim Ali Nisar & Muhammad Haris, 2024. "Opening a new horizon in green HRM practices with big data analytics and its analogy to circular economy performance: an empirical evidence," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 26(5), pages 12133-12162, May.
    20. Pratiwi, Ika & Saefudin, Asep & Sari, Gema Ika & Maliki, Budi Ilham & Fauzi, & Soenyono, & Basrowi, & Nuryano, Uli Wildan, 2025. "Green human capital and organizational performance: The role of employee environmental awareness and sustainable innovation in achieving organizational sustainability," Innovation and Green Development, Elsevier, vol. 4(3).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:corsem:v:33:y:2026:i:1:p:577-598. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1002/(ISSN)1535-3966 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.