Caring for culturally diverse groups has been a focus of nursing from its beginning. As early as 1893, under the leadership of Lillian Wald, nurses in New York City started public health nursing and provided home care to inner city people, particularly immigrants, who could neither read nor write the English language (Denker, 1994). Because nurses were not from the same cultural background as the immigrants, they had to deal with the cultural differences between themselves and the persons in their care. Today, the บ.ร. culture reflects a greater diversity of many cultures from all over the world. Thus, the need for nurses to provide culturally rel¬evant care is greater than ever. Diversity in the บ.ร. across and within ethnic groups will most likely increase as descendants of immigrants are expected to account for most of the population growth in the coming decades (Pew Hispanic Center, 2008).