Purnell and Paulanka (both health and nursing sciences, U. of Delaware-Newark) begin by discussing transcultural diversity and health care, and the Purnell Model for Cultural Competence. Then they look in turn at 27 cultural groups North America, looking at such aspects as communications, family roles and organization, high-risk health behaviors, pregnancy and childbearing practices, spirituality, and health-care practices. The small handbook abstracts information from their textbook Transcultural Health Care: A Culturally Competent Approach. Annotation ©2004 Book News, Inc., Portland, OR

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