GREEN HUMAN RESOURCE MANAGEMENT IN HEALTHCARE: BIBLIOMETRIC INSIGHTS AND QUALITATIVE EVIDENCE OF IMPLEMENTATION GAPS IN REGIONAL HOSPITALS

Abstract

The healthcare sector contributes significantly to environmental degradation, necessitating the integration of Green Human Resource Management, yet its implementation in regional hospitals still faces significant gaps. This study aimed to explore the perceptions and realities of GHRM implementation in the healthcare sector. A mixed-methods research approach integrating Systematic Literature Review, bibliometrics, and qualitative studies was conducted at dr LM. Baharuddin M.Kes Regional General Hospital. involving four informants through purposive and snowball sampling. Data collection was conducted through in-depth interviews, observation, and documentation, analysed using thematic analysis with the help of NVivo 15, complemented by a bibliometric of 22 articles using VOSviewer. The results show that GHRM experienced significant acceleration across disciplines in 2024-2026, but implementation in the field is still incidental, based on appeals, and has not been integrated into formal HR instruments such as SKP, reward systems, or promotions. Hospital management needs to systematise environmental metrics into formal performance evaluations. Future research uses a longitudinal quantitative approach with SEM to test psychological mediating variables. In conclusion, this study extends the AMO framework to the context of hospitals in developing countries. Recommendation: Structural integration of GHRM into formal HR systems is necessary to achieve sustainable healthcare.