Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Dec;31(23-24):3338-3349.
doi: 10.1111/jocn.16226. Epub 2022 Jan 26.

Factors associated with nurses' positive attitudes towards families' involvement in nursing care: A scoping review

Affiliations

Factors associated with nurses' positive attitudes towards families' involvement in nursing care: A scoping review

Mayckel da Silva Barreto et al. J Clin Nurs. 2022 Dec.

Abstract

Aim: To map the factors associated with nurses' positive attitudes towards families' involvement in nursing care and to identify any existing gaps in knowledge.

Background: Several tools have been proposed to assess the attitudes, beliefs and practices of nurses towards families in different care contexts. However, there is a knowledge gap on how the results of these tools can identify the factors that are associated with more positive attitudes of nurses.

Design: A scoping review based on the steps proposed by the Joanna Briggs Institute.

Methods: Three independent reviewers searched the databases: PUBMED/Medline; LILACS; Virtual Health Library; PsycInfo; Google Scholar; SCOPUS and CINAHL, from 2006 to August 2021, guided by the question: What are the factors associated with nurses' positive attitudes towards families´ involvement in nursing care, in studies that used one or both of the following two scales 'Families' Importance in Nursing Care- Nurses' Attitudes' and 'Family Nursing Practice Scale'? This review was conducted in accordance with PRISMA-ScR.

Results: Twenty-six primary studies were identified, in which 9,620 nurses participated. Positive attitudes were associated with three types of variables: (a) personal-longer working career (42.3%) and older age (26.9%); (b) educational-higher level of academic education (30.8%) and family nursing education (23.0%); and (c) workplace-working in primary health care and/or outpatient clinics (34.6%) or in a unit with philosophy/approach to families (23.0%).

Conclusions: Personal variables such as age and time of service are non-modifiable aspects, but educational and workplace variables are subject to intervention to improve nurses' attitudes towards families' involvement in nursing care. Continuing development programmes about family care can constitute important strategies to improve positive attitudes of nurses towards families in practice.

Relevance to clinical practice: Recognising the characteristics associated with nurses´ positive attitudes towards families may enable the development of tailored interventions that promote family-focused care.

Keywords: attitudes; family; family nursing; nurses; scoping review.

PubMed Disclaimer

Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

FIGURE 1
FIGURE 1
PRISMA Flowchart. Identification, selection and inclusion of Scoping Review studies

References

    1. Alfaro‐Díaz, C. , Esandi, N. , Gutiérrez‐Alemán, T. , & Canga‐Armayor, A. (2019). Systematic review of measurement properties of tools assessing nurses’ attitudes towards the importance of involving families in their clinical practice. Journal of Advanced Nursing, 75(11), 2299–2312. 10.1111/jan.14049 - DOI - PubMed
    1. Altmann, T. K. (2008). Attitude: A concept analysis. Nursing Forum, 43(3), 144–150. 10.1111/j.1744-6198.2008.00106.x - DOI - PubMed
    1. Angelo, M. , Cruz, A. C. , Mekitarian, F. F. P. , Santos, C. C. D. S. D. , Martinho, M. J. C. M. , & Martins, S. (2014). Nurses’ attitudes regarding the importance of families in pediatric nursing care. Revista da Escola de Enfermagem da USP, 48, 74–79. 10.1590/S0080-623420140000600011 - DOI - PubMed
    1. Arksey, H. , & O'Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. 10.1080/1364557032000119616 - DOI
    1. Barreto, M. S. , Marcon, S. S. , Garcia‐Vivar, C. , Furlan, M. C. R. , Rissardo, L. K. , Haddad, M. D. C. L. , Dupas, G. , & Matsuda, L. M. (2018). Deciding “case by case” on family presence in the emergency care service. Acta Paulista Enfermagen, 31(3), 272–279. 10.1590/1982-0194201800039 - DOI

Publication types