Cultura

ISSN 1584-1057 (print)
ISSN 2065-5002 (online)

Cultural Competency among Expatriates: Exploring Role of Linguistic Challenges, Host National Connectedness, and Self-Efficacy

VOLUME 21, 2024

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

VOLUME 6, 2023

Musaddag Elrayah
Department of Management, College of Business Administration, King Faisal University, Al-Ahsa 31982, Saudi Arabia
Saeed Abdullah Alzahrani
Chairman, Department of Foreign Languages, College of Arts and Humanities, Al-Baha University, Al-Baha, Saudi Arabia

Abstract

This research studied the dynamic relationships of linguistic challenges, cultural competency, host national connectedness, and self-efficacy among expatriates. It examines how these factors affect the process of cultural accommodation in a multicultural society. The research first used a mixed-methods study, interviewing 14 expatriates to discover their personal stories and attitudes. There followed a quantitative phase. From the qualitative data, hypotheses were derived and tested empirically with a questionnaire of 211 expatriates. Statistical analysis was done with STATA software, using advanced statistical techniques such as confirmatory factor analysis and path analysis. This research finds that linguistic proficiency significantly influences cultural competency and host national connectedness. Furthermore, host national connectedness mediates the relationship of linguistic difficulties and cultural competence; self-efficacy moderates the impact of linguistic challenges on cultural competence. These results underscore the very complicated relationship between language competence, social integration, and self-efficacy in expatriates 'cultural adaptation. The current research significantly contributes original insights into the field of expatriate management and cross-cultural studies. This research highlights the manifold nature of cultural adaptation. It offers a nuanced understanding of the role of linguistic challenges, social integration, and self-efficacy play in shaping expatriates' cultural competency. The findings have significant implications for designing effective support and training programs for expatriates, enhancing their success and well-being in foreign cultural settings.

Keywords : Cultural Competency, Linguistic Challenges, Host National Connectedness, Self-Efficacy, Expatriate Adaptation.
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