The purpose of this column is to describe the implementation of an international multisite Roy adaptation model-based study of women's perceptions of and responses to cesarean birth.The data collected at six sites are being used to extend a program of research that began in the Fawcett, Aber, Weiss, Haussler, Myers, King, Newton, Silva 2 late 1970s and continued with periodic data collection into the 1990s (Fawcett, 1981;Fawcett & Burritt, 1985;Fawcett, Pollio, & Tully, 1992;Reichert, Baron, & Fawcett, 1993).The study has provided a research learning experience for undergraduate students in maternal-neonatal nursing courses, as well as the basis for one master's thesis and a master's comprehensive paper. The integration of research, teaching, and practice is a collaborative effort involving faculty and students at the University of Massachusetts-Boston, Marquette University, Hampton University, and Australia's Monash University. The study also has provided an opportunity for the integration of research and practice for faculty at the University of Tampere in Finland and for staff nurses at hospitals in Oklahoma and Finland.