Green intensive care in an upper-middle-income country: A national survey of awareness, practices and barriers among ICU physicians in Turkey
Authors' conclusion
Despite strong motivation among ICU physicians, Green ICU practices remain limited, reflecting educational, institutional, and infrastructural barriers.
Study context
- Population
- Adult ICU physicians in Turkey
- Participants
- 325 physicians
- Outcome
- Self-reported awareness, current practices, perceived barriers and educational needs related to environmental sustainability within the Green ICU framework
Methodological detailsnationwide, online survey, 30-item questionnaire, Conducted 15 May–15 October 2025; 57.2% female, 84.3% in university or training hospitals
- Nationwide
- Online survey
- 30-item questionnaire
- Conducted 15 May–15 October 2025; 57.2% female, 84.3% in university or training hospitals
Main finding
As reported in the abstract
- High self-reported awareness of the Green ICU concept
- 12.3%
- Received formal training
- 1.8%
- Willing to receive education
- 89.7%
- Structured Green ICU practices reported
- 3.7%
- Waste management (most commonly implemented practice)
- 92.9%
- Energy-efficiency technologies
- 14.5%
- Barrier: insufficient knowledge and training
- 84.3%
- Barrier: lack of staff support
- 60.6%
- Barrier: high costs
- 58.5%
- Barrier: inadequate technological infrastructure
- 51.1%
Observational data: associations, not effects.
Further findings
Factors associated with higher self-reported awareness
- Higher awareness associated with older age, longer ICU experience, higher professional role and institution type
- all p < 0.01
Original publication
Green intensive care in an upper-middle-income country: A national survey of awareness, practices and barriers among ICU physicians in Turkey. J Crit Care. Published 26 February 2026. doi:10.
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