A family interest all over the world is their child’s safety. Family caregivers play a significant role in their child’s recovery. Family involvement has been promoted for decades and been formalized in numerous policy documents. These documents have been embraced by health professionals. Current research demonstrates that nurses find it important to work in trustful relationships with families. Nevertheless, involvement on behalf of a family’s needs and wishes still remains difficult to realize in everyday care. Research demonstrates a discrepancy between what family involvement is supposed to contain and what is actually practiced and experienced by families. Ethnographic research at pediatric wards with different conditions and cultures (Sweden and Mozambique), describe family’s needs and experiences as well as nurses’ beliefs and everyday practice of family involvement. Even though nurses use different tactics or action styles, the dominant process in both Swedish and Mozambican nursing care is a socialization of family caregiver to an expected role on the ward. However, some nurses used skills with empowerment characteristics. The objective is to challenge the skill pool for quality of care in children’s nursing in a global perspective. Different action styles among nurses encountering parents will be described and compared with emphasis on the concept of empowerment and what empowering skills mean in nurses’ actions of family involvement. I will illustrate how involvement and participation is co-created in encounters, in interaction between nurses who use empowering skills and families in need of support. Empowering skills will improve family involvement in children’s nursing.