Transcultural adaptation of Odia version of health-related kidney disease and quality of life-36 instrument

Objective:The study objective was to translate,validate,and test the reliability of the original kidney disease and quality of life-36(KDQOL-36^(TM))instruments in Odia.Materials and Methods:A cross-sectional design with a purposive sampling technique was used.According to RAND Corporation guidelines,initially,the items of the KDQOL-36^(TM)questionnaires were translated into Odia by two independent,bilingual,professional translators,and then back-translated to English,followed by tryout and field testing.The experts validated the KDQOL-36^(TM)instrument review committee for review related to kidney health conditions.The tool was implemented among 180 patients undergoing“maintenance”hemodialysis.The following tests evaluated reliability and validity:test-retest reliability with Cronbach’s alpha correlation(stability),(reliability)internal consistency,and contents validity index.Results:The Cronbach’s alpha value and intraclass correlation coefficient(ICC)score of all five domains,namely“physical component summary,mental component summary(MCS),the burden of kidney disease,symptoms and problems of kidney disease,and effects of kidney disease”of both KDQOL-36^(TM)English and Odia(KDQOL-36-E^(TM)and KDQOL-36-O^(TM))version,recommended excellent homogeneity.A high positive correlation(r=0.998)was found between the Odia version of KDQOL-36^(TM)and the English version KDQOL-36^(TM)questionnaire.The ICC score ranges from 0.889 to 0.997 at a 95%confidence interval for test-retest reliability,and Cronbach’s alpha was 0.832.Conclusion:This study explores the Odia version of KDQOL-36^(TM)psychometric properties,depicted at an acceptable level of internal consistency.The KDQOL-36-O^(TM)instrument is a valid and reliable tool for assessing the kidney disease-related quality of life in Odia-speaking hemodialysis patients.

Transcultural Validation and Adaptation of the Academic Stress Questionnaire (CEA) in Students of Puerto Rico

Background: There are multiple questionnaires to measure academic stress in university students, which have been used in nursing students. In Puerto Rico, a questionnaire valid in content and reliability was required to measure the variable of academic stress in nursing students. Purpose: The aim of this study was to adapt transculturally and validate the Academic Stress Questionnaire (CEA) for its use in Puerto Rico. Materials and Methods: Used for the first phase of this study consisted in the evaluation of the validity of content and appearance, whereas the second phase was the actual administering of the questionnaire to 20 (twenty) nursing students, to pilot test its internal consistency using the Cronbach’s α test. Results: Validity of content and appearance allowed for the modification of the questionnaire into one, consisting of 42 items, thus eliminating 34 premises from the original 76 items the questionnaire was composed of. Furthermore, the appearance of the questionnaire was modified by placing the measuring scales in columns, adapting social, demographic, and academic data to the required Puerto Rican reality. The sections meant to measure the academic stress variables were left intact, except for the linguistics adaptation, which was accomplished by a team of experts in the Spanish language. With an α global of 0.80 and coefficients larger than 0.7 in the multi-item sub scales, which oscillated between 0.750 and 0.860, the questionnaire provides a high reliability. Conclusion: Although the values reported in this study are somewhat lower than previous research, they were comparable the Cronbach’s Alpha coefficients reported by Cabanach, in which the numbers reported are considered high (α > 0.70) which show acceptable confiability of the subscales included in the study and a high degree of consistency and thus can be relied upon in future research. In synthesis, the Academic Stress Questionnaire (CEA) modified and adapted, thoroughly fulfills the established criteria of confiability and validity to evaluate academic stress of Puertorrican nursing students.

Efficacies of Different Methods of Teaching Transcultural Nursing Practice in China

Purpose： This study assessed the effectiveness of three teaching methods for developing cultural competency based upon Leininger＇s theoretical framework with nursing students in China： case studies, traditional didactic learning, and self-directed learning. These methods were used in tran- scultural nursing teaching practices to identify the method that resulted in the greatest improve- ments in the nursing student＇s understanding and clinical application of transcultural nursing. Methods： The Transcultural Nursing Questionnaire（TNQ） was used for pre-and post-test comparisons of all participants in four areas of cultural knowledge and the Evaluation of Transcultural Nursing Competency（ETNC） was applied via role-play to evaluate the cultural competency of 120 of the 305 participants from three general hospitals in the PuDong New District, Shanghai, China. Individual transcultural nursing courses that focused on case study, traditional didactic or self-di- rected methods persisted for four months in three hospitals. Results： Statistical analyses of the cognitive scores of the participants in the transcultural nursing courses revealed a significant difference（P〈0.01） between scores collected before and after the teaching with the three methods. Comparisons of the three hospitals revealed that the scores for transcultural nursing cognition and simulating service assessment were significantly different（P〈0.01） for the case study nursing students. The scores of the students who were taught with the traditional didactic and self-directed methods were not significantly different across the three hospitals（P〉0.05）. Conclusion： The results revealed that the case study, traditional didactic and self-directed method effectively improved the transcultural nursing cognitive levels of the nursing students. The case study method appeared to be the most effective approach based upon the TNQ pre-and post-tests and the ETNC cultural competency scores.

Investigation for the transcultural self-efficacy of nurses in Guizhou,China

Aim:As conflict caused by cultural diversity among patients in China continues to rise,hospitals are in urgent need for improvement of transcultural efficacy among nurses.This study aims to evaluate the transcultural self-efficacy of nurses working in the tertiary general hospital in Guizhou Province,an ethnic minority region in western China,and to identify whether nurses'demographic characteristics affect their transcultural self-efficacy.Method:We used the Chinese version of the Transcultural Self-Efficacy Tool(TSET-CV)to survey 1,190 inservice nurses.Results:Results showed that the level of transcultural self-efficacy of the nurses was generally moderate;few of the nurses had high or low transcultural self-efficacy.The nurses'transcultural self-efficacy was affected by demographic variables,including age,marital status,employment type,income,work experience,and whether or not they were head nurses.Having a stable work environment,a stable marriage,a good educational background,and a high-ranked professional title were associated with increased transcultural self-efficacy.Conclusion:Nursing administrators in hospitals should offer continuing education on transcuitural nursing according to nurses'demographic characteristics and the SEST scores.

Evidence-based practice profiles of nurses: a transcultural study

Objective: To compare(i) the evidence-based practice(EBP) profiles and(ii) socio-demographic characteristics of nurses in 4 selected low-middle income countries(LMICs).Methods: A cross-sectional survey was conducted among 677 nurses from 4 hospitals in 4 countries(Afghanistan, Ghana, Iran, and Uganda).Results: The findings revealed that there are significant differences between the 3 EBP subscales(that is, practice/use, attitude, and knowledge/skill) across the 4 countries(P < 0.05). No significant EBP differences were identified across age groups and gender in the subscales of practice, knowledge, and attitude. Practice and knowledge subscales were significantly associated with working schedules(that is, par t-time and full-time)(P < 0.05). Analyses also revealed significant differences between attitude and knowledge subscales and working experience(P < 0.05).Conclusions: Nurses in the 4 countries have moderate practice, attitude, and knowledge/skil s of EBP. Nurses in LMICs require continuous professional development programs and suppor t to enhance their practice and knowledge regarding EBP in clinical settings.

The Research on Cross-Cultural Critical Thinking in English Teaching: A Pedagogical Paradigm Within the Ideological and Political Course Framework

The conflation of linguistic competencies with ideological and political educational paradigms presents unique opportunities and challenges for English language teaching(ELT)in our increasingly interconnected world.This research seeks to address the role of cross-cultural critical thinking within the landscape of English pedagogy,framed by the imperatives of ideological and political education.Employing a multi-method approach,including thematic content analysis and action research,the study proposes a pedagogical model designed to integrate transcultural discourse and ideologically reflective practices into the conventional ELT curriculum.This paper argues for a reimagined approach to teaching English that encourages students to engage with diverse cultural perspectives and develop a nuanced understanding of global issues.

“Transculturalism”溯源:西方学术语境及中文翻译辨析

Transcultualism一词常被用来描述全球化下日益复杂的跨文化现象,在当前中国国际传播/跨文化传播研究领域常被使用,并且已被学界普遍接受。但是,研究者对这个概念有不同的理解,因而产生了不同的中文翻译,比如“跨文化”“超越文化”“转文化”等。究竟应该如何深刻理解“transculturalism”一词的本质特征,辨析其在不同语境下的内涵与意义?本文旨在分析transcultualism一词在西方学术语境中的来龙去脉,以更加全面深入地理解和把握该词的内涵与意义。本文辨识出这个概念的三个理论脉络,并详细阐述各自的时代背景、相关概念、理论基础与核心主张,在此基础上提出对transculturalism的翻译应该充分考虑到其所勾连的学术语境。文章进一步指出,尽管侧重点不同,transculturalism所对应的三个理论脉络都体现了学者们认识到了文化的共性和关联性,尊重文化的差异性,强调文化的互通互鉴,并看到文化融合带来的新的未来。Transculturalism对我们思考、理解和分析跨文化传播具有积极的意义和价值,但其背后隐含的西方中心主义旨趣不容忽视。

Keats,Higginson,and Snakes:Yang Mu's Transcultural"Courtship"of Emily Dickinson

The paper investigates the literary connections between nineteenth-century American poet Emily Dickinson(1830-1886)and Yang Mu(1940-2020),an award-winning Taiwan Residents poet.As a fellow admirer of the Romantic poet John Keats like Dickinson,Yang Mu showed great enthusiasm for Dickinson,expressing his passion for her in a post modernist poem“September 27th's Emily Dickinson”in the early 1970s.Dickinson also sought literary guidance at the inception of her poetic career,writing to the then editor of The Atlantic Monthly Thomas W.Higginson,after reading his“Letter to a Young Contributor”in April 1862.Their works inform a shared investment between the two writers in their Keatsian aesthetics,concerns about poetic fame,and experimentation with poetic forms during times of surging national cultural sentiments.Recent scholarships by critics like Cristanne Miller,Roland Hagenbichle,Paraic Finnerty,Paul Giles and Domhnall Mitchell,among many oth-ers,have placed Dickinson's poetry squarely in a global context.In a similar vein,critics like Lawrence R.Smith,Michelle Yeh,Stephen Owen,Anthony C.Yu,and Lisa Lai-ming Wong also perceive Yang Mu as a world poet who practices bicul-turalism by blending eastern and western cultures.Building upon previous scholar-ships,the paper examines how Yang Mu plays a role of not only an admirer and a fellow poet,but also a surrogate mentor in“September 27th's Emily Dickinson”,replacing Higginson's editorial advice for and“surgical”treatment of Dickinson.Reversely,Dickinson's poem“There's a certain Slant of light”(1862)illuminates how Yang Mu's translation of this poem of Dickinson in The Completion of a Poem(1989)and his later four poems“Rays of the Searching sun”(1996)transplant Dick-inson's latc-Romantic,proto-modernist poetic quest onto his own post-Romantic,postmodern poetics.This East-West literary resonance demonstrated in these poems reveals the“cosmopolitan”potentiality embraced by both poets,shedding light on the significance of placing the transmission,circulation and evolution of poetic dialogues in a transcultural context.

The Treatment of Other Cultures in Transcultural Writing-A Cognitive Semiotic Reflection

Transcultural literary studies as advocated by Italo-Australian critic Arianna Dagnino claims to investigate writers who live transnational lives and write out of a border-crossing and transcendent sensibility. But, in arguing for indeterminacy and fuzziness in transcultural novels, it fails to explain how specifically different cultures should be dealt with in this type of writing. In this essay, I draw on Per Aage Brandt's cognitive semiotic definition of cultural "sedimentation" as opposed to Raymond Williams' "analysis of culture" to help with a close reading of two Australian travel novels of the 20 th century, i.e. Margaret Jones' The Confucius Enigma and Nicholas Jose's Avenue of Eternal Peace, with special attention to how the two books handle Chinese culture. Such a reading reveals that, while both novels are set in China, the former remains satisfied with minimum cultural representation, and the latter mainly focuses on certain areas of contemporary Chinese culture instead of others. Although Avenue of Eternal Peace does dig beyond the "iconic meanings" of the Chinese culture to reveal authorial knowledge of its "symbolic meanings", the novel devotes too much of itself to the overwhelmingly "negative semiosis" of China, refl ecting a complacent attitude on the part of the protagonist/narrator/author towards Chinese culture. For this reason, neither novel meets Dagnino's criteria for transcultural writing. And the two novels start us thinking about Dagnino's theorization of transcultural writing because her emphasis on "transcending" only implies an aloofness and detachment. Brandt's defi nition of culture as sedimented symbolic meanings teaches us that genuine transcultural writers should perhaps be prepared not just to know and understand and stay at a distance from other cultures but to engage and heartily share and even partake of their sedimented symbolic meanings at all levels and learn to feel the same way about them as their native members. This is true of the third world diasporic/migrant writers living and writing in the fi rst and second worlds that Dagnino's theory of transcultural writing remains focused on, but even more of the fi rst and second worlds writing about their transcultural experiences in the third world countries. I argue that part of the intention ofDagnino's transcultural literary studies is to move beyond postcolonialism's concern over cultural unevenness and asymmetry, but this study proves that postcolonialism is not and should not be taken as completely over.

What＇s in a Name？ Multiculturalism by the Name of Transculturalism May Smell as Bitter

The paper argues that a change of the name from multiculturalism to transculturalism will not work magic if the thinking paradigm that dictates trans- culturalism is still the same mindset that dictates multiculturalism, which is basi- cally swayed by postcolonialism, a victim mentality, or what Fanon termed as a colonized mind that conceives the world ahistorically in terms of a false binarism of the West and the non-West, ignoring entirely the complexities of power relations in intercultural and intracultural interactions, and disregarding the simple facts that, as the West is not a colonizing whole, the non-West is not a colonized monolith and that, as there are diversities between cultures in the West and the non-West, there are differences within the Western cultures, within the non-Western cultures, and within each culture. I discuss the failures of multiculturalism, critique the indiscriminate application of postcolonialism, and look into the problems and risks of conceiving power relations in cross-cultural interactions along the postcolonialist binary line, which has reduced the diversified world into the West and the non-West. The transculturalist hypothesis of World Englishes is used as a case in point. My conclusion is that transculturalism can only be meaningful if it adopts ＂a disposition of openness, liberated from the colonized mind or the postcolonialist identity politics.

Feminine and Masculine Dimensions of Feminist Thought and Transcultural Modernism in Republican China

This study examines critical essays and imaginative fiction by three key writers of the Republican period： Mao Dun, Ba Jin and Lu Yin. I argue that, while Mao Dun and Ba Jin fuse elements of classical Chinese and modem Western sources so as to create strong heroines and a critique of ＂new men＂ for the purpose of revolutionary cultural and national reform, Lu Yin foregrounds an inward examination of the self, multiple narrative points of view and a dialogical perspective which fuses her protagonists＇ interior consciousness with external reality as well as other characters＇ streams of feeling and thought. My reading of Lu Yin＇s texts reveals that she not only succeeds in bringing communion and solace to her readers but also creates ＂moments of being,＂ markedly similar to Virginia Woolf＇s modernist aesthetics and Walter Benjamin＇s mosaic-like ＂moments of recognition,＂ which allow her characters to perceive ＂wholeness＂ from fragmentary flashes of understanding. These intense moments of awareness enhance Lu Yin＇s dialogic imagination and enable her to create discursive feminine narratives that convey the full complexity of women＇s consciousness while simultaneously resisting the male realist literary discourse and strengthening her feminist-activist agenda in the national public sphere.

Nursing education in China:Meeting the global demand for quality healthcare

With a predicted global nursing shortage,ensuring the provision of quality healthcare has become a pressing concern.In China,these concerns include the need to produce nurses trained to a level to support advancing nursing practice and a healthcare system that supports the growth and retention of nurses in China.This paper argues that the standard of nursing education in China plays a crucial role in preparing graduates to meet the health demands of China's growing population and the role that China can play into the future in the global progression of nursing.Collaboration between nursing authorities,educators,and legislators is required to support the progression of nursing worldwide.

"Independent Self"and"Interdependent Self"reflections on the reference to the body perspective in psychotherapy and psychosomatics in China

The introduction of western psychotherapy methods to China is an enormous transcultural challenge.It touches the different concepts of"independent self"and"interdependent self"in China.The different constructions of self are contingent upon society and culture.It is important to give particular consideration to this aspect in the transfer of western(body)psychotherapy to China.In this article,the author describes general and concrete examples of his own experiences in China.

Research on the Countermeasures of Cultivating Students’Intercultural Communication Competence in Foreign Language Learning

It is an important task for foreign language teaching in the new era to cultivate students’sensitivity to cultural differences,shorten cultural distance and develop intercultural communication competence.Culture is dynamic,and the form of culture is related to a certain historical period.In cross-cultural communication,only by understanding and respecting each other’s culture can misunderstandings and conflicts be avoided.

An Intercultural Interpretation ofKung Fu Panda-From the Perspective of Transculturation

With the tide of globalization, different cultures are clashing, interacting, and merging more frequently. Transculturation expresses an effective way to introduce various cultures to the outside. By analyzing the interaction of cultural globalization and cultural localization in the movie Kung Fu Panda （2008）, the paper illustrates the transculturating process of two cultures. Furthermore, the paper also points out that transculturation, differing from cultural assimilation and cultural imperialism, can enhance the equal communications of different cultures and improve the cultural comprehension, which is important in intercultural communication

Examples of National and Transnational Cinema： Akira Kurosawa＇s Yojimbo and Sergio Leone＇s A Fistful of Dollars

The term transnational originated in the historical field when, in the late 1990s, lan Tyrrell wrote a seminal essay entitled ＂What is Transnational History？＂ and changed the course of the academic discipline, claiming that studying the history of a nation from inside its borders was outmoded because the study of history concerns the movements of peoples, ideas, technologies, and institutions across national boundaries. The study of cross-national influences and the focus on the relationship between nation and factors beyond the nation spilled over into many other fields, especially into cinematic studies. Today transnational refers to the impossibility of assigning a fixed national identity to much cinema, to the dissolution of any stable connection between film＇s place of production and the nationality of its makers and performers. Because there is a lot of critical debate about what constitutes national and transnational cinema, the study of international remakes is a promising method to map the field with some accuracy. This essay will analyze the journey from Hammett＇s novel to Kurosawa＇s film and then to Leone＇s western, and will demonstrate how the process of adaptation functions and what happens to a ＂text＂ when it becomes tmnsnational and polysemic. Because Leone is the creator of the Italian western, the one who initiated the cycle that was copied many times over for a decade, we must look at A Fistful of Dollars as a prototype, a movie that when dissected can shed light on the national-transnational dichotomy of the spaghetti western. However, before studying the prototype, we must look at the complex history of the origin of the first spaghetti western, taking into account that A Fistful of Dollars was ＂transcoded＂ by Leone from Kurosawa＇s Yojimbo （1961） that derived his script from Dashiell Hammett＇s RedHarvest （1929）.

Co-Design for Sino-Australian Participatory Urban Media

Despite the differences in cultural,economic,and political systems,China and Australia are societies sharing rapidly urbanizing futures.This presents significant challenges for urban planning,placemaking,and the sustainability of livable urban communities.Using Chongqing as a case study,metaPLACE is an experimental project investigating how participatory urban media(large and small interactive screens,installations,fa?ades,and devices)can act as a co-designed interface between diverse communities,industries,and government stakeholders.The empirical data collected in this study is derived from a co-design workshop held in Chongqing in 2019 to explore how urban media can assist urban planners to design more livable urban places.The data indicates that there are a range of opportunities and concerns related to equitable placemaking,environment,the nature of interfaces and participation,ownership and management of data,large and small screens,and cultural and generational considerations.Our critical and comparative analysis of the research methods and cultural factors influencing the co-design process reveal deficiencies in widely accepted models of user experience design and design process used across industry and design research.This has significant implications for transcultural and interdisciplinary co-design and the establishment of a viable Sino-Australian design ecosystem.

A Semiotic Reading of Nicholas Jose's Avenue of Eternal Peace

Nicholas Jose has been advocating "transcultural writing" for more than three decades, with Avenue of Eternal Peace(1989) as an early part of his practice. In 1990, Avenue was short-listed for the Miles Franklin Prize but failed to win this Australian national award. Judged by Chinese semiotician Zhao Yiheng's reception model of narratives, this is a "message blocked" case. Using the framework of Roman Jakobson's communication model, this paper reinterprets the six constitutive factors and functions to investigate the elements that blocked the message. My main argument is that "contact", "context", and "code" jointly blocked the communication; the three Cs reflect three long-standing problems in Australian literature: the issue of cultural identity, the dark side of White Australian Dream, and the Orientalist representation of "the other" culture. The failure in literary communication analyzed also suggests that Wally's perception of China follows a Saussurean dichotomy which presupposes a closed linguistic system and excludes the role of the subject and the extra-semiotic object in signification. The Peircean trichotomy better captures the process of concept formation and is a better approach to transcultural writing in the contemporary postmodern situation. Transcultural writing challenges its readers; we need to transcend our confined nationality and persistent prejudice, and develop adequate "transnational literacy" to appreciate this new form of cultural production.

The Missing Link： Japan as an Intermediary in the Transculturation of the Diary of A Madman

The Diary of A Madman （Kuangren r/j/）, Lu Xun＇s first well-known short stoW and the alleged first modem short stow in vernacular Chinese, is famous for its first-person narrative by an intellectual that is suffering from a persecution complex. As acknowledged by Lu Xun himself and argued by most scholars, this short stoW was influenced by Gogol＇s homonymic short stow, but has developed more profound melancholy and indignation. However, as my paper demonstrates, this perspective neglects the role of Japan as an intermediary in the transculturation of madness. First, Lu Xun＇s initial encounter with Gogol＇s Diary of A Madman was through his reading of Futabatei Shimei＇s translation in the Japanese magazine Ky6mi. Second, the framed narrative and contrasting styles of Lu Xun＇s short stow, which are not features of Gogol＇s, might also be due to the inspiration from the Japanese genbun itchi movement in the Meiji period. Third, and most importantly, cannibalism, a major theme in Lu Xun＇s Diary of A Madman, was arguably shaped by the heated discussion in Japan on national character and cannibalism. My paper will trace the double origin of the depiction of madness and cannibalism in Lu Xun＇s work and illustrate the importance of the role of Japan in the transculturation of the stow of a madman.