{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T05:40:29Z","timestamp":1777354829082,"version":"3.51.4"},"reference-count":60,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Against the backdrop of increasing challenges posed by ongoing climate change, pollution and its associated implications and environmental and climate protection measures have become the focus of politics and society in recent years. But adaptation and mitigation require changes in behavior among the population. This means that a process of social transformation must take place. Based on the thesis that people working in healthcare facilities can make a relevant contribution to the social transformation of environmental awareness, this study examines the general and workplace-related environmental awareness of hospital employees. Risk awareness, measure effectiveness, transformation costs and the subjective social norm factors were included, which eventually influence this awareness. Therefore, a mixed study design consisting of an original study and a systematic replication study was used. Data were analyzed using structural equation modeling (path analysis) to identify key predictors of environmental awareness and behavior. The results show that hospital employees generally have a high level of environmental awareness compared to the general population in Germany. This is also evident in their awareness of workplace-related measures. However, influencing factors such as transformation costs in particular mean that measures, even if they are considered effective, are only implemented to a limited extent by hospital employees. With regard to the question of whether hospital employees can play a key role in the social transformation process, this study does not provide sufficient evidence to answer this question.<\/jats:p>","DOI":"10.3390\/bs16040622","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T09:01:24Z","timestamp":1776848484000},"page":"622","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Social Transformation in Environmental Awareness: The Role of Hospital Employees in the Transformation Process\u2014Results of a Survey in Germany"],"prefix":"10.3390","volume":"16","author":[{"given":"Berit","family":"Schoppen","sequence":"first","affiliation":[{"name":"MedEcon Ruhr GmbH, 44801 Bochum, Germany"},{"name":"Department of Psychology and Psychotherapy, Witten\/Herdecke University, 58455 Witten, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2420-0207","authenticated-orcid":false,"given":"Katja","family":"Falta","sequence":"additional","affiliation":[{"name":"Department of Psychology and Psychotherapy, Witten\/Herdecke University, 58455 Witten, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2695-0701","authenticated-orcid":false,"given":"Thomas","family":"Ostermann","sequence":"additional","affiliation":[{"name":"Department of Psychology and Psychotherapy, Witten\/Herdecke University, 58455 Witten, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,21]]},"reference":[{"key":"ref_1","unstructured":"Ajzen, I. 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