Introduction: When a caregiver comes from a country other than that of the person being cared for there is a clash of cultures and social practices. Leininger's concept of transcultural care echoes the cultural diversity this contrast or opposition involves and recommends incorporating it into professional practice by developing what she defines as culturally competent care. Purpose: The purpose of this study was to know what type of strategies foreign caregivers develop when caring for people of different origin and how these strategies are integrated into the social, cultural and institutional context of the recipient society. Study Materials and Methods: A qualitative approach was used, based on in-depth interviews with immigrant caregivers in the province of Huelva and with personnel specialized in dependent patient care. Results: The study provides a description of the socio-cultural practices caregivers develop, according to their culture, and how those practices intervene in the exercise of care in the recipient society. Conclusions: Foreign caregivers sometimes develop strategies akin to their own beliefs, giving them priority over those of the care recipient or the recipient society. This can cause cultural clashes. Nursing professionals must identify these clashes so as to be able to intervene, using training and cultural competency as tools for change.