Exploring the mediating role of environmental culture in linking green compliance and risk management performance in healthcare institutions

PURPOSE: The purpose of this paper is to examine the impact of green compliance (GC) on risk management performance (RMP) within the healthcare sector in Jordan, a developing country. Additionally, the mediating role of organizational environmental culture (OEC) in the relationship between GC and RMP is examined. DESIGN/METHODOLOGY/APPROACH: A quantitative, cross-sectional research design was employed. Data were collected from 387 valid responses obtained from healthcare professionals across 121 hospitals in Jordan. Drawing on the resource-based view (RBV) and Institutional Theory, the proposed model was tested using partial least squares structural equation modeling (PLS-SEM). FINDINGS: The results indicate that GC has a positive and significant effect on both OEC and RMP. In addition, OEC significantly mediates the relationship between GC and RMP, confirming both direct and indirect pathways. The findings suggest that compliance practices alone are insufficient unless supported by a strong organizational culture that enables their effective implementation. ORIGINALITY/VALUE: This study contributes to the literature in three key ways. First, it conceptualizes Organizational Environmental Culture as a mediating mechanism linking green compliance to risk management performance. Second, it integrates institutional theory and the resource-based view to explain how external pressures and internal capabilities jointly influence sustainability outcomes. Third, it provides empirical evidence from the healthcare sector in a developing country, extending environmental management research beyond traditional industrial contexts.