Dear Editor,

I just finished reading the May/June 2009 issue of Clinical Nurse Specialist and have to say that I found the following 2 articles particularly important:

"Integrated Theory of Health Behavior Change: Background and Intervention Development" by Polly Ryan. [23(3), 161-172]

"Understanding Culture: The Art of Food-From the Annals of the Caliph's Kitchens" by Jeanine Young-Mason [23(3), 175-176]

Ryan's article really does a great job of discussing midrange theory and describing how she developed the Integrated Theory of Health Behavior Change, blending pedagogy with practice. As an educator, clinical nurse specialist, and a doctoral (EdD) student, the article comes at a pivotal point in my development as a researcher; I'm navigating numerous theories available for use in my own dissertation. Her theory seems very user friendly and just plain makes sense to me. I will share this article with my graduate students next semester to assist them in a better understanding of the importance of theory and how it can be used in clinical nurse specialist practice.

Young-Mason also did a great job of not only discussing the book but also bringing forth a book that discusses food and practices from the Iraqi people in a manner that bridges a gap in understanding Islam and recognizing the humanity of people. I applaud her story and look forward to more articles that bring forth transcultural concepts for use in practice or just for increased understanding the lived experiences of others worldwide.

As always, our journal continues to enlighten and broaden perspective.

Thank you,

June M. Como, MSA, MS, RN, CCRN, CCNS

Department of Nursing

College of Staten Island-CUNY