This paper examines the sustainability practices implemented by healthcare establishments, mainly Small and Medium enterprises (SMEs), We focus on identifying opportunities with challenges involved. This systematic literature analyses 47 studies that explore sustainability practices in the healthcare system globally. The finding from the studies reveals that healthcare organizations with SMEs adopt diverse measures like renewable energy, a reduction, and a response procurement in minimizing the impact on the environment and ensuring financial stability. The challenges SMEs face comprise limited financial resources, lack of expertise, with difficulties accessing information and support. Furthermore, we suggest opportunities for SMEs to enhance sustainability practices with partnerships with other organizations and investing in educating employees. Implementation of sustainability practices will improve the financial stability, and environmental impact, with the wellbeing of healthcare stakeholders. The empirical evidence, comparative studies with cross-disciplinary are needed in exploring the effectiveness of the different suitability practices, potential trade-offs, synergies between sustainability and other organizational goals, the effect of sustainability practice in the financial with non-financial performance on SMEs in healthcare establishment are positive, with cost-effectiveness, efficiencies operations, improving brand reputations and engaging the employee. Established factors like regulating frameworks and government initiatives play a major role in the influence of adopting sustainability practices with cultural factors.

This study seeks to examine the factors affecting the intention of Indonesian MSMEs to adopt QRIS. It leverages variables from the Technology Acceptance Model (TAM), customizing the TAM framework to address the unique perceptions of risk and cost among MSMEs in Indonesia. Data were gathered from 212 MSME participants in Brebes Regency through convenience sampling, a non-probability sampling technique, using Google Forms for survey distribution. The findings indicate that perceived ease of use positively and significantly influences attitudes, which, in turn, positively and significantly impact the intention to continue using QRIS. However, perceived benefits, perceived risks, and perceived costs did not significantly affect the intention to continue use.

SMEs are characterized by a number of flaws that threaten their survival and counteract them from reaching high levels of growth and development. Access to finance is the primary problem facing these companies in the Moroccan context. Aware of the effective and potential impacts of SMEs on the country as a whole, the Moroccan Government through a variety of actors has mobilized its efforts in a number of ways to support this population of companies. This study assesses the extent to which actors within the Moroccan SMEs’ financing ecosystem align to support these companies and develop their ability to access external financing. Using the MACTOR model, based on an in-depth contextual analysis and expert interviews, our findings suggest that Morocco’s SMEs’ financing ecosystem is skewed, with high levels of convergence between its components.

The technological infrastructure is the basis for the successful implementation and operation of information systems in small and medium enterprises. The study aimed to demonstrate the impact of cybersecurity on entrepreneurship strategies in small and medium enterprises. Through technological infrastructure in Balqa Governorate. The study population consisted of small and medium enterprises in Balqa Governorate in Jordan. The study followed the descriptive analytical approach and relied on the questionnaire to collect data. The sample size was 360 individuals were randomly select. The Statistical Package for Social Sciences (SPSS) was use to analyze the data. The study reached a set of results, including that the management of small and medium enterprises is committed to continuous supervision and control of customer information. Dealing with reliable parties to ensure the confidentiality of information, following strict standards for disclosure and circulation of customer data and information based on legal texts. Maintaining the privacy of customers’ financial data, in addition to supporting the successes of individuals based on the personal efforts of employees, providing a suitable work environment for employees, sustaining excellence and achievement, and working to increase awareness among its employees of the importance of innovation and creativity in work. The study recommended that customer data confidentiality should be consider a top priority for small and medium enterprises. The data should be stored in more than one place at the same time, that project websites should follow a privacy policy, and that the customer’s identity should be verify before submitting his data and documents, by involving employees in small and medium enterprises in specialized courses and workshops to demonstrate the importance of data and information confidentiality.

This study aims to develop and validate a strategic model tailored to the unique challenges and contexts faced by micro, small, and medium-sized enterprises (MSMEs) in Ecuador, enhancing their operational efficiency and access to financing. Employing a quantitative approach, the research utilized a non-experimental, cross-sectional design to gather data from a sample of 358 companies. The study revealed that MSMEs are significantly hindered by limited access to financing, lack of managerial skills, and technological gaps. Despite these challenges, MSMEs demonstrated considerable adaptability and resilience, underscoring their critical role in the local economy. The strategic model proposed leverages Porter’s Diamond Model to identify and address the specific competitive and operational challenges encountered by these enterprises. Key findings include the necessity for enhanced financial literacy, simplified regulatory frameworks, and the integration of digital technologies to improve competitiveness. The proposed model focuses on strategic training, fostering innovation, and creating a more supportive financing environment. The implications of this study are profound, suggesting that policymakers and practitioners should streamline regulatory processes, enhance financial and technological support frameworks, and provide tailored training programs. These strategies are intended to bolster the sustainability and growth of MSMEs, contributing to broader economic development. This research contributes to the academic literature by providing empirical evidence on the challenges faced by MSMEs in developing economies and proposing a contextually adapted strategic model to mitigate these challenges, thereby enhancing their economic impact and sustainability.

In the context of establishing businesses in a new region, neglecting environmental orientation may lead to the omission of crucial motives for entrepreneurs’ migration and the subsequent course of their businesses. This present study aims to investigate the effect of green space quality (GSQ), green campaign (GC), and green attitude (GA) on green entrepreneurship pioneering intention (GEPI). Further, national pride (NP) was added as a moderator. This study utilized a cross-sectional approach using a survey method targeting small and medium-sized enterprise (SME) owners who will be relocated to the new capital city. Partial least square structural equation modeling was employed in the data analysis. The results revealed that GSQ, GC, and GA positively influence GEPI. Also, NP moderates the positive influences of GC and GA on GEPI. Entrepreneurs were motivated to pioneer green entrepreneurship in the new region due to environmental factors. Furthermore, their nationalism reinforces the connection between environmental motivations and the aspirations to undertake such pioneering endeavors. The findings present valuable insights for governments to formulate policies that encourage entrepreneurs to migrate internally and establish new economic nodes. Further, the results demonstrate how nationalism encourages green business pioneering endeavors in an untapped market.