Cultura

Occupational Stress in the Digital Workplace: Examining the Efficiencies of E-CRM Practices on Employee Performance

VOLUME 22, 2025

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

VOLUME 6, 2023

Dr. BIJINA Cheriya Kalacherry, Dr. Soumya Sarala

Abstract

The rapid digitalisation of organisational operations has significantly transformed employee roles, communication systems, and customer relationship management practices. Electronic Customer Relationship Management (E-CRM) has emerged as a strategic tool for enhancing organisational productivity, customer engagement, and operational efficiency. However, the increasing dependence on digital systems and technology-driven work environments has also contributed to occupational stress among employees. This study examines the relationship between E-CRM practices, occupational stress, and employee performance in the digital

workplace. The study adopts a quantitative analytical research design using SPSS and AMOS for statistical analysis and structural equation modelling.

Primary data were collected from 320 employees working in service-oriented organisations through a structured questionnaire. Reliability analysis, correlation analysis, regression analysis, Confirmatory Factor Analysis (CFA), and Structural Equation Modelling (SEM) were conducted to evaluate the relationships among the variables. The findings reveal that effective E-CRM practices significantly improve employee performance while reducing occupational stress. Furthermore, occupational stress negatively affects employee productivity and mediates the relationship between E-CRM efficiency and employee performance.

The study contributes to the growing literature on digital workplace management and provides practical implications for organisations aiming to improve employee wellbeing and organisational efficiency through strategic E-CRM implementation.

Keywords : Occupational Stress, E-CRM, Employee Performance.
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