A qualitative review synthesizes evidence on nurses’ experiences in engaging with fathers during care for young children. Researchers searched five databases and included studies focusing on nurses’ experiences with paternal involvement written in English or French. A thematic synthesis of 17 peer-reviewed studies was conducted by 12 family nurse researchers across six countries. Three main themes emerged: perceptions of the father’s role in family dynamics, the influence of nurses’ individual views on paternal involvement, and the development of efficacy in working with fathers. The findings emphasize the need for increased awareness among family nurses regarding the unique realities of fathers. Enhanced training can reshape nurses’ perceptions of paternal roles and foster the implementation of father-inclusive practices in family care settings.