The major focus of this article will be a discussion of the transcultural nursing implications of the care practices of caregivers of children who are Taiwanese temporary residents in the United States. In the multicultural and transcultural environment found in the United States, it is imperative that nurses and other health care professionals understand the care practices of people of different cultures. Included in the mix of different cultures are those who are living in the country temporarily. People who are transient may adhere to traditional health beliefs and practice and at the same time embrace the cultural life ways and beliefs of the host country.N ursing and health care in the 21st century will focus on delivering nursing care that is directed toward understanding the cultural care needs of not only the individual but also the family and community. With the globalization of industry, health, and education, people are linked to one another as never before. Travel time from one nation to another is a matter of hours and people move to new locations for a variety of reasons. With this in mind, it becomes a matter of great importance that nurses and other health care professionals understand the meaning of nations, cultures, and the ability of people to encounter permeable borders. In addition, a deeper understanding is imperative for nurses regarding the relationship between the evolving nature of culture and a person's health and well-being. Leininger (1991) describes culture as the learned values, beliefs, rules of behavior, and lifestyle practices of a particular group of people. Dibble (1983) described four basic characteristics of culture; it is necessarily learned, shared, dynamic, and adaptable within specific conditions. Leininger (1991, 1995) suggests that we must focus on holistic features of a person and provide care within the context of the patient's immediate family, extended family, and cultural environment. The concept of culture is important in understanding the total person, in the context of the family and community. Cultural knowledge and sensitivity are essential for the nurse and other health care professionals to provide holistic culturally congruent care.In her early writings, Leininger (1970) claimed that it is increasingly important to understand cultural differences and similarities when practicing today, and that this knowledge will grow in value in the future to expand the range of appropriate care to our increasingly diverse society. However, nurses must increase their knowledge of the beliefs, values, and health care practices of people of multiple cultures and cultural backgrounds. Without knowing or understanding the cultural care values of each patient, professional nurses may impose their own values, providing culturally incongruent and therefore less effective care.It is the intention of the authors to expand on Leininger's view of cultural care and consider the rapid 466