The prevalence of children living with chronic health conditions is increasing worldwide and can disrupt family roles, relationships, function, and parental involvement in family caregiving. The purpose of this systematic review was to explore fathers’ experiences and involvement in caring for a child with a chronic condition. Systematic searches using seven databases were conducted. Study criteria included (1) peer-reviewed original research in English, Spanish, French, or Portuguese, (2) children less than 19 years of age with a chronic condition, (3) fathers (biological or guardian) as direct informants, and (4) outcomes addressing fathers’ experience, perceptions, and/or involvement in the child’s care. Data were synthesized from ten articles reflecting eight separate studies that utilized quantitative designs. Three areas of focus were identified: Family Functioning, Father’s Psychological Health, and Need for Support. Data suggested increased involvement from the father in caring for their child with a chronic condition was associated with improved family functioning, increased anxiety and distress, decreased self-esteem, and increased need for support. This review revealed a paucity of data regarding fathers’ experiences and involvement when caring for a child with a chronic condition, with that available primarily from developed countries. Rigorous empirical studies are needed to deepen understanding of how fathers are involved in the care of their child with a chronic condition.

This qualitative study identified influences on participation in physical activity among seniors living in the community and in long-term care facilities. A total of 24 seniors participated in individual face-to-face inter views. Through thematic analysis, the overarching theme identified that past experiences, life transitions, and future concerns influence seniors' participation in physical activity. This overarching theme helps explain the complexity of physical activity participation in later life. The subthemes included intergenerational influences, establishment of early physical activity patterns, family transitions over the life course, changing health status over the life course, and future health concerns. A greater understanding of an individual's life history is paramount for nurses to help increase participation in physical activity among seniors.

Background and Introduction: Healthcare policy establishes guidelines for delivering safe and effective healthcare, achieving and improving health‐related outcomes, and mitigating public health risks. Nurses are uniquely positioned to lead healthcare policy development; however, evidence of nurses’ engagement in policymaking is limited. This umbrella review aims to examine and summarize nurses’ involvement in healthcare policy development aimed at transforming health. Methods: Following the Joanna Briggs Institute umbrella review methodology, a systematic search was conducted across seven databases for peer‐reviewed literature. Quality and risk of bias were assessed using the ROBIS tool. Data were analyzed using qualitative content analysis and meta‐synthesis. This review is registered in PROSPERO (ID: CRD42023458475). Results: The search yielded 591 records, which were evaluated using PRISMA guidelines. Articles ( N = 7) were included if they were written in English, Japanese, or Arabic, reported a literature review study, and participants were registered or licensed nurses. Four master themes were identified: (1) diminished support and preconceived expectations of nurses’ roles in policy development contributed to individual, organizational, and system‐level barriers; (2) hierarchical marginalization of nurses’ voices, interprofessional and gender dynamics, and limited leadership roles of nurses impact meaningful participation; (3) nurses’ internal perceptions, knowledge, and beliefs regarding power, role expectations, and interest, limit involvement in policy development; and (4) the development of skills and understanding of policy through education, training, modeling, and mentorship is foundational for informed and authentic engagement. Conclusions: None of the included reviews identified nurses’ engagement in healthcare policy development. Lack of engagement was due to multilevel barriers, hierarchical marginalization, and limited skills. Implications for Nursing and Healthcare Policy: Nurses are the voice of patient, family, and community health and well‐being. This responsibility requires our engagement in healthcare policy development at all levels. Including nurses in healthcare policy development is crucial in creating healthcare that is fit for purpose and in the sustainability of the nursing workforce.

As the demand for cultural awareness in the provision of nursing care continues to increase, nursing programs must develop creative and effective teaching strategies and curricula to address this need. The evaluation of a five year, funded, North American nursing exchange project developed and implemented by six partner universities in Canada, Mexico and the United States of America is described in this article. The project was designed to enable nursing students to increase cultural awareness, redefine their role relationships with nurses from the partner countries, and increase knowledge regarding the health care systems and role of the nurse in those countries. Findings provide evidence that teaching nursing through a prism of cultural awareness, using both a jointly taught online course and student and faculty exchanges across the three countries is an effective strategy to increase the level of cultural awareness in nursing students.

Professional nurses are challenged by the increasing complexity of their own healthcare delivery systems and by the growing interconnectivity of healthcare systems worldwide. There are increasing calls for practice across boundaries; however, the role and scope of nursing practice within individual countries are often unclear, ill-defined, and misunderstood by nurses from other countries. In this collaborative educational project among six schools of nursing located in Canada, México, and the United States, nursing students and faculty are exploring the role of the nurse within each country's healthcare system while striving to develop their multicultural awareness. Participating faculty describe the process, challenges, and keys to success found in creating and living this international project. They share strategies for addressing challenges, which included meeting deadlines, time differences, differing academic schedules, writing joint documents in two languages, designing and presenting a shared course, and creating an exchange process between the six partner schools. They describe the evolution of their working relationships, the language challenges, and the joy of coming together as newfound colleagues and friends.

This qualitative review aims to synthesize the evidence on nurses’ experience of intervening with fathers when providing care to their young children. Five databases were searched. Inclusion criteria were (a) nurses’ experience, (b) intervention with fathers, (c) written in English or French. Data were extracted by two independent reviewers. Qualitative thematic synthesis of 17 peer-reviewed studies was performed by 12 family nurse researchers from six countries. Three analytical themes were identified: “Conceiving of the father’s role in terms of his involvement within the family”; “Working with fathers based on the nurse’s individual conception of the paternal role”; and “Developing a sense of efficacy in working with fathers.” The results highlight the importance of raising family nurses’ awareness of fathers’ individual realities. Training in this regard makes it possible to modify nurses’ perceptions of the paternal role and to promote the adoption of father inclusive practices within the family.