Leading radiography managers into a greener future: A systematic review of green transformational leadership and sustainable practices

INTRODUCTION: Healthcare system requires many resources to maintain the standards necessary to care for the population. Effective leadership ensures the environmental sustainability of clinical activities. This study aims to examine the role of Green Transformational Leadership (GTL) in radiography, focusing on the mitigation strategies adopted by radiography managers and their impact on promoting environmental sustainability in radiology departments. METHODS: A systematic literature review was conducted in accordance with PRISMA statements. The search strategy was performed targeting studies on leadership in radiography, green innovation and environmental sustainability, using keywords such as "green transformational leadership," "radiography manager," and "healthcare." The search string was designed to ensure compatibility between different databases, maintaining methodological consistency. RESULTS: Among the retrieved articles, six met the inclusion criteria. None of the included studies focused on radiology departments, but all addressed GTL in healthcare settings, offering transferable insights. The analysis highlighted how GTL can influence the implementation of sustainable practices in radiography. Radiography managers using GTL play a key role in promoting sustainable practices, such as reducing energy consumption or waste generation and encouraging the use of reusable imaging equipment. Interdisciplinary collaboration could be decisive in increasing the effectiveness of green initiatives. Studies reviewed highlighted the importance of successful communication, measurable goals, and staff training for adopting green practices. CONCLUSION: Radiography managers who prioritise green strategies may contribute to reducing the environmental impact of radiology departments. Investing in leadership development and encouraging interdisciplinary collaboration are critical steps in creating a green healthcare system. IMPLICATION FOR PRACTICE: The implementation of GTL in radiology has the potential to enhance energy efficiency and reduce environmental impact by promoting sustainable practices, engaging radiography managers in decision-making, and integrating sustainability into training programs.