Cultura

The New Management Imperatives: Culture, Connectedness, Performance, Leadership Sensemaking, Organizational Trust, And Employee Voice: A Qualitative Study

VOLUME 23, 2026

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Hadeel Abdellatif
Gizem Günçavdı Alabay

Abstract

This qualitative study explores the new management imperatives shaping contemporary organizations by examining the interrelationships among organizational culture, connectedness, performance, leadership sensemaking, organizational trust, and employee voice. Data were collected through in-depth, semi-structured interviews with 14 participants, including managers and employees across diverse organizational roles. Using thematic analysis, the study identified four central themes: leadership sensemaking as a catalyst for cultural coherence, connectedness as a foundation for organizational trust, trust-enabled employee voice as a driver of engagement and learning, and the alignment of culture and voice with perceived performance outcomes. The findings reveal that leadership sensemaking plays a pivotal role in interpreting organizational values and fostering meaningful connections, while trust emerges as a critical enabler of open communication and employee participation. Employee voice was found to function both as an expression of trust and as a mechanism for continuous improvement and adaptive performance. This study advances qualitative management research by foregrounding the lived experiences of organisational actors to formulate a unified explanation of how relational and interpretive processes influence organisational performance in contemporary contexts. The findings provide practical insights for leaders seeking to cultivate trust-based cultures that encourage connectedness, amplify employee voice, and support sustainable performance.

Keywords : Organizational culture, Leadership sensemaking, Organizational trust, Employee voice, Connectedness.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty