https://periodicosulbrabra.org/index.php/acta/issue/feed 2026-07-16T03:45:30+00:00 Editor [email protected] Open Journal Systems https://periodicosulbrabra.org/index.php/acta/article/view/320 2026-06-07T11:43:30+00:00 Prof. S. T. Mohana, Dr. J Jaslina Gnana Rani, Prof. Hilda Rose Mary, Dr. K Vijayalakshmi, Prof. Shalin Gnana Priya, Prof. M. Raja [email protected]

<p>Antibiotic resistance has emerged as one of the most serious global public health threats of the <br>21st century. The increasing prevalence of resistant microorganisms has led to treatment failures, <br>prolonged illness, increased mortality, and a rise in hospital-acquired infections. In India, the <br>situation is particularly alarming due to the widespread misuse and overuse of antibiotics, easy <br>availability of medications without prescription, and inadequate adherence to infection control <br>practices. National surveillance data from the Indian Council of Medical Research highlight a <br>growing resistance among common pathogens, reducing the effectiveness of both first-line and <br>last-resort antibiotics. Overall, the rising prevalence and serious consequences of antibiotic <br>resistance highlight the urgent need for effective interventions such as antibiotic stewardship <br>programs, strict infection control measures, and increased awareness among healthcare <br>professionals, especially nurses who play a key role in monitoring antibiotic use and patient <br>outcomes. Objectives: To assess the effectiveness of a Nurses’ Empowerment on nurses’ <br>compliance with Antibiotic Stewardship practices. Methods: Quasi experimental research design <br>was adopted for the study. The study was conducted among 60 nurses, with 30 in the control group <br>and 30 in the intervention group working in selected hospital units. Observational checklist was <br>used to assess nurses ‘compliance before and after the nurses empowerment program. The Nurses’ <br>Empowerment Program included structured teaching sessions and educational materials related to <br>antibiotic stewardship practices. Data were analyzed using descriptive and inferential statistics, <br>including the Chi-square test. Results: The pre-test findings revealed that most nurses in both <br>groups had moderate compliance (Control: 53.3%, Study: 56.7%), with none in the good <br>category. In posttest compliance improved markedly in the study group, with 73.3% achieving <br>good compliance compared to only 23.3% in the control group. Conclusion: The study concluded <br>that the Nurses’ Empowerment Program regarding Antibiotic Stewardship was effective in <br>improving nurses’ compliance with antibiotic stewardship practices. Nurses in the intervention <br>group demonstrated significantly higher post-test compliance scores compared to the control <br>group. The findings highlight the importance of continuous education and empowerment <br>programs in promoting appropriate antibiotic use, strengthening infection control practices, and <br>supporting efforts to reduce antibiotic resistance in healthcare settings.</p>

2026-06-10T00:00:00+00:00 Copyright (c) 2025 https://periodicosulbrabra.org/index.php/acta/article/view/323 2026-07-16T03:45:30+00:00 Prasanna C. Puranik, Dr. Vijay N. Gaikwad, Dr. Vinay Nandre, Dr. Praful Sarangdhar, Prof. Dr. Sulbha S. Raorane [email protected]

<p>The rapid growth of digital technologies, social media, online review sites, and e-commerce <br>has fundamentally changed the way consumers interact with brands and assess corporate <br>reputation. In the modern digital market, a company's online reputation is a valuable strategic <br>asset that significantly impacts customer trust, purchase decisions, brand loyalty and long-term <br>competitive advantage. This has made Online Reputation Management (ORM) a crucial <br>business function that allows organisations to monitor, influence and improve public <br>perceptions by proactively managing digital content, feedback from consumers, online <br>reviews, social media interactions and crisis communications. Although the strategic <br>importance of ORM is on the rise, existing studies have largely concentrated on specific aspects <br>such as online reviews or social media engagement. Few studies have combined multiple ORM <br>strategies into an integrated framework to examine their collective impact on brand image. To <br>fill this gap, the present study purposed a comprehensive conceptual model that investigates <br>the impact of online review management, social media engagement, electronic word-of-mouth <br>(eWOM), crisis communication, and customer response management on positive brand image, <br>through customer trust as a mediating variable. Based on Signalling Theory, Social Exchange <br>Theory, and the Stimulus–Organism–Response (S–O–R) framework, the research applies a <br>quantitative research methodology and focuses on online consumers who have already <br>purchased digitally. It is proposed to examine the relationships among the study variables using <br>Structural Equation Modelling (SEM). It is anticipated that the findings would demonstrate <br>that the effective ORM strategies would greatly strengthen the customer trust which would in turn enhance a positive brand image and long-lasting customer relationships. The study <br>contributes to the literature by integrating contemporary digital marketing and reputation <br>management perspectives into a holistic theoretical framework. From a managerial perspective, <br>the findings offer practical guidance to organisations looking to strengthen their brand image, <br>enhance consumer engagement, effectively manage online crises, and develop sustainable <br>digital marketing strategies in an increasingly competitive online business environment.&nbsp;</p>

2026-05-14T00:00:00+00:00 Copyright (c) 2026