“…Radnor et al. () state that most health care organisations are still at an adoption stage equivalent to the late 1980s and early 1990s in automotive manufacturing, restricted to elements such as specific tools and techniques (Dannapfel, Poksinska, & Thomas, ; Fillingham, ; Holden, Eriksson, Andreasson, Williamsson, & Dellve, ; Kaplan, Patterson, Ching, & Blackmore, ; Kim, Spahlinger, Kin, & Billi, ; Radnor et al., ). Consequently, sustainability activities (e.g.…”