Success requires both top-down and bottom-up approaches, meaning leadership and front-line workers need to work together to achieve a healthcare system that does not harm the planet and is sustainable long-term [44]
Nursing leadership should value, support, and prioritize sustainability initiatives [9]
Promote green and healthy hospitals at all levels [45]
Replace harmful chemicals with saer alternatives [45]
Promote clean, renewable energy generation and renewable energy use [45]
Decrease water consumption and provide drinkable water [45]
Improve transportation for patients and staff [45]
Decrease food waste and use more locally sourced food [45]
Decrease pharmacologic pollution [45]
Build green buildings [45]
Purchase sustainable goods and materials [45]
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