Future directions in transcultural nursing in the 21st century.

With the inevitable trend towards TCN, all nursing education, research and practice will of necessity become transculturally based, hopefully by the year 2020 or earlier. Meanwhile, an incredible amount of TCN leadership is needed to adequately prepare nurses to function in our growingly academically prepared to teach TCN and to practice in a culturally competent way. Nursing service and other major organizations need to become transcultural institutions. Communication with nurses from countries everywhere echo nurses' eagerness to prepare themselves in transcultural nursing, especially those frustrated in the caring of immigrants and people of diverse cultures.