Purpose: The purpose of this study is to develop an empirically informed framework to analyze women empowerment and entrepreneurship, contextualized within a collective society.Design/methodology/approach: The authors conducted 15 in-depth semi-structured interviews with women entrepreneurs located in the United Arab Emirates to understand their entrepreneurial experiences and how they were empowered.Findings: Findings suggest that the three aspects of power characterized as “positive” from within Rowlands’ distinctions (“power to”, “power with” and “power within”) dominate, as opposed to those emphasized in the literature (“power to” and “power over”). Findings include empowerment of the “me” (individual) also synergistically contributes to empowerment of the “we” (society), when considering empowerment within a collective society.Originality/value: A psychology model was used as a basis to develop a Collective Empowerment Process Framework. This framework provides a fresh look at empowerment, allowing for explanations of how women in specific contexts experience empowerment and social change.

The relationship between empowerment and entrepreneurship in collective societies is, in our view, insufficiently examined. Accepted definitions of empowerment and the assumptions underlying programs and research designs based on them result in outcomes that self-fulfil and, as a result, disappoint. Several issues are prevalent: the empowerment potential of programs is overestimated and the dominant view of what constitutes an ‘empowered self’ does not go deep enough to explore, and reframe, the self and its relationship to agency—two issues at the core of empowerment definitions and formulations. In this conceptual article, we examine the entrepreneurship and empowerment literature to suggest ways forward for the future health and relevance of the subject area. We highlight a serious methodological and perceptual issue within the literature, which offers many opportunities for theory development in the field.

This study explores which stakeholders have more substantial influence than others and which combinations of stakeholders will have the greatest impact on small‐ and medium‐sized enterprises' environmental practices. A quantitative survey of 150 manager‐owners of SMEs found that while customers and suppliers significantly influence SMEs' sustainability behaviors, the demands and expectations set by regulatory bodies have a more substantial impact on how SMEs shape their environmental practices. Further, the presence of regulatory pressures does more than directly influence SMEs. Pressure from regulatory bodies also amplifies the effect of other forces on SMEs' environmental practices. In other words, when regulatory pressures exist, the impact of customer and supplier pressures on SMEs' sustainability behaviors becomes even more substantial. This synergistic effect underscores the pivotal role of regulatory pressures in shaping and enhancing SMEs' commitment to environmental sustainability.

Purpose: The aim of this research is to uncover issues that inhibit patients' satisfaction and loyalty and identify factors that could enhance customer retention by government hospitals in the United Arab Emirates (UAE). The mediating impact of outpatient satisfaction on service quality, word of mouth (WoM), hospital image, outpatient–physician relationship and outpatient loyalty were tested.Design/methodology/approach: The sample data used to test the hypotheses were drawn from a pool of patients served by a government healthcare agency in Abu Dhabi. Questionnaires were provided to 418 participants using methods such as short message service, e-mail and face-to-face delivery. The data were analyzed using SmartPLS 3.3.2 software.Findings: The results indicate that service quality, WoM and outpatient–physician relationship positively impact outpatient satisfaction and indirectly effect outpatient loyalty; that hospital image positively impacts outpatient satisfaction and loyalty and has a partially mediating effect on loyalty; that waiting time satisfaction has no effect on outpatient satisfaction and no moderating effect on the outpatient satisfaction–loyalty relationship and that switching cost has a positive effect on loyalty but no moderating effect on the outpatient satisfaction–loyalty relationship.Research limitations/implications: The first limitation of this study concerns the fact that only patients who had previously been served by these hospitals' outpatient units were included. Furthermore, the research was not able to obtain extensive findings related to the various factors that negatively impacted patient satisfaction and loyalty among all of the departments of government hospitals, such as inpatient care and emergency care.Practical implications: Centered on the findings from this research, increasing switching costs would prevent patients from switching to other healthcare providers. Therefore, it has the potential to create a false loyalty or a hostage customer (Jones and Sasser, 1995). Additionally, making patients feel connected to their treatment plan and engaged in their care by developing a tool to maintain their enthusiasm about their health is important. It is therefore recommended that government hospital care providers and management consider providing online tools that patients can use to self-manage their care.Social implications: The results regarding patients' satisfaction level suggest several areas for improvement. The first pertains to waiting area entertainment and comfort because patients indicated that there is not enough entertainment or ways to pass the time when waiting for services. In addition to enhancing the entertainment and comfort of waiting areas, government hospital staff should maintain contact with patients who are waiting to ensure that they are aware of the time they will spend. Another area for improvement is the parking lot. During summer, patients prefer to walk less in the sun, which causes them to seek parking closer to the door. Government hospital management should consider different methods for transporting patients closer to the door, such as golf carts or valet services.Originality/value: This is the first study to investigate the mediating impact of outpatients' satisfaction between its antecedents and loyalty in the UAE. These results provide an improved understanding of the factors influencing patient choices and establish more accurate methods for increasing patient loyalty to retain more patients.