Vol. 4 No. 6 (2026)
Open Access
Peer Reviewed

Green Accounting Practices and Environmental Awareness in Supporting Hospital Sustainability: A Qualitative Study at RSK X in East Java

Authors

Heny Enggaryanti , Ikhsan Budi Riharjo

DOI:

10.47353/ecbis.v4i6.578

Published:

2026-08-30

Downloads

Abstract

Hospital operations provide healthcare services while generating environmental impacts through medical waste, hazardous and toxic waste, wastewater, and the consumption of energy, water, and other resources. These impacts require hospitals to adopt environmental management practices that extend beyond regulatory compliance and strengthen environmental awareness. This study aims to analyze the role of green accounting in fostering environmental awareness and supporting organizational sustainability at a specialized hospital (RSK X) in East Java, Indonesia. The study employed a qualitative approach within an interpretive paradigm using a case study design. Data were collected through in-depth interviews, observations, and documentation involving informants engaged in environmental management and hospital operations. Data were analyzed through data reduction, data display, conclusion drawing, and thematic analysis using NVivo 14 Pro. The findings indicate that green accounting practices at RSK X are reflected in medical and hazardous waste management, wastewater treatment plant operations, environmental monitoring, resource efficiency, environmental reporting, and environmental cost recording. These practices function not only as mechanisms for administrative compliance and cost control but also as instruments for fostering employees' environmental awareness through socialization, monitoring, habituation, and behavioral change. Green accounting implementation is supported by management commitment, government regulations, accreditation requirements, and organizational culture. However, constraints remain, particularly the absence of a dedicated green accounting report, limited integration of environmental information into the hospital information system, and varying employee understanding of green accounting. The study concludes that green accounting serves managerial and behavioral functions by improving environmental accountability, strengthening environmental awareness, and contributing to hospital sustainability.

Keywords:

Green Accounting environmental awareness environmental management accounting sustainability hospital Hospitality Industry

References

Burritt, R. L., & Christ, K. L. (2016). Environmental management accounting: Applications and eco-efficiency. Journal of Cleaner Production, 112, 254–265.

Burritt, R. L., Hahn, T., & Schaltegger, S. (2002). Towards a comprehensive framework for environmental management accounting—Links between business actors and environmental management accounting tools. Australian Accounting Review, 12(27), 39–50.

Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Sage Publications.

DiMaggio, P. J., & Powell, W. W. (1983). The iron cage revisited: Institutional isomorphism and collective rationality in organizational fields. American Sociological Review, 48(2), 147–160.

Elkington, J. (1997). Cannibals with forks: The triple bottom line of 21st century business. Capstone Publishing.

Freeman, R. E. (1984). Strategic management: A stakeholder approach. Pitman.

Gray, R., Owen, D., & Adams, C. (1996). Accounting and accountability: Changes and challenges in corporate social and environmental reporting. Prentice Hall.

International Federation of Accountants. (2005). International guidance document: Environmental management accounting. International Federation of Accountants.

Jasch, C. (2003). The use of environmental management accounting (EMA) for identifying environmental costs. Journal of Cleaner Production, 11(6), 667–676.

Lako, A. (2018). *Green accounting: Issues, theory, and applications*. Salemba Empat.

Miles, M. B., Huberman, A. M., & Saldaña, J. (2014). Qualitative data analysis: A methods sourcebook (3rd ed.). Sage Publications.

Nurhidayat, & Junaid. (2020). Triple bottom line approach in hospital sustainability. Jurnal Administrasi Kesehatan Indonesia, 8(2), 112–124.

Nurhayati, A. V. H. (2019). *Socio-ecological responsibility and the role of accounting: A study at Rumah Sakit Mata Undaan* [Master's thesis, STIESIA Surabaya].

Riduwan, A., & Andajani. (2025). Sustainability reporting: Text and traces of meaning. Jurnal Akuntansi Multiparadigma, 16(1), 28–48. https://doi.org/10.21776/ub.jamal.2025.16.1.03S

Saldaña, J. (2021). The coding manual for qualitative researchers (4th ed.). Sage Publications.

Schaltegger, S., & Burritt, R. (2000). Contemporary environmental accounting: Issues, concepts and practice. Greenleaf Publishing.

Sugiyono. (2020). *Qualitative research methods*. Alfabeta.

Sutanto, H., Putri, D., & Pramudya, A. (2020). Sustainability attributes of hospitals toward green hospitals in Indonesia. *Jurnal Kesehatan Lingkungan Indonesia, 19*(3), 201–214.

Yin, R. K. (2018). Case study research and applications: Design and methods (6th ed.). Sage Publications.

Author Biographies

Heny Enggaryanti, Sekolah Tinggi Ilmu Ekonomi Indonesia Surabaya, Indonesia

Author Origin : Indonesia

Ikhsan Budi Riharjo, Sekolah Tinggi Ilmu Ekonomi Indonesia Surabaya, Indonesia

Author Origin : Indonesia

Downloads

Download data is not yet available.

How to Cite

Enggaryanti, H., & Riharjo, I. B. (2026). Green Accounting Practices and Environmental Awareness in Supporting Hospital Sustainability: A Qualitative Study at RSK X in East Java. Economics and Business Journal (ECBIS), 4(6), 3277–3286. https://doi.org/10.47353/ecbis.v4i6.578

Similar Articles

<< < 11 12 13 14 15 16 17 18 19 20 > >> 

You may also start an advanced similarity search for this article.