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.

Background: The prevalence of childhood obesity has become a global concern and evolves from the complex interaction of multiple factors. In particular, the influence of socioeconomic status and ethnicity when combined with family dynamics are important, yet remain inconsistent in their association with childhood obesity. Parents, as influential family members, play a primary role in the development of their children’s eating and activity behaviors that may contribute to increased weight. This integrative review 1) examines the parental role in the development of childhood obesity and 2) identifies implications for health programs and policies. Method: Systematic searches using five databases followed by a lateral search were conducted between April and June 2014. Inclusion criteria included empirical research published in the last 5 years addressing the role that parents with children 12 years and younger play in their child being or becoming obese. Nineteen publications were identified. Results: Six themes related to the association between parental role and childhood obesity emerged from our review. These themes included parenting style, parent influence on feeding, modeling, self-efficacy, concern, and bidirectional interaction of the parent-child dyad. Parenting style, modeling, and self-efficacy were not consistently associated with childhood obesity. Parental concern, however, was linked to specific feeding practices. Parental restriction and pressure to eat certain foods were both found to be inversely related to a child’s weight status. Parent’s role in promoting activity was infrequently addressed. Conclusion: When addressing eating and activity behaviors among children, the role that parents play in feeding their child and their concern for their child’s health is critical. Including mothers and fathers as potential “agents of change” and considering their cultural norms are two elements necessary for effective health programming and policy development.

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.

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.