This research investigates the implementation of sustainable alternatives to reduce the use of disposable absorbent pads in hospital care, focusing on the Obstetrics and Endoscopy departments of Reinier de Graaf Hospital. A mixed-methods approach was applied, combining literature review, stakeholder interviews, pilot studies, and clinically oriented absorption tests. Results from the absorption tests show that reusable products, such as washable pads and towels, can provide comparable performance to disposables when applied in a taskand context-specific manner. Pilot studies emphasized that successful implementation requires not only technically adequate and more sustainable alternatives, but also logistical integration, clear communication, and bottom-up staff involvement.
The application of the COM-B model demonstrated that psychological capability is a major barrier, as healthcare staff had limited knowledge of sustainability. Physical opportunity also played a role, with high workload limiting the time available for behavioural change. The Behaviour Change Wheel indicated that these barriers can be addressed through education and environmental restructuring, increasing awareness and supporting adaptation via integration into existing logistical workflows. The Consolidated Framework for Implementation Research highlighted the role of opinion leaders and implementation facilitators in bridging the gap between Green Teams and the sustainability coordinator.
Overall, this study concludes that reducing disposable absorbent pad use is both feasible and desirable, provided that product performance, workflow integration, and organisational support are combined with behavioural interventions and hospital-wide awareness. These findings contribute to the development of practical strategies for sustainable healthcare implementation.