Introduction This study extended previous Australian research to explore oncology nurses family practices in Denmark. The role of the family varies in different countries. In Australia, family is noted to provide close emotional and physical support (Coyne, 2013). However in Denmark the family may form a less involved role often decided by the patient (Dieperink, Wagner, Hansen, & Hansen, 2013). The oncology nurse is the key point of contact for the patient and becomes the gatekeeper to inform tailored support. Method A comparison of oncology nurses practices in relation to family assessment was conducted. Focus groups [22] were conducted with oncology nurses in both Australia and Denmark [N=62]. A concept analysis of transcribed audio data was conducted. Results Across the two countries family assessment formed a part of the nurses' initial contact with the patient. In Australia family was often present, however in Denmark this was often completed just with the patient. In Denmark the nurse provided the main aspect of support and direction for the family, however in Australia nurses described their role as one to identify concerns and refer to a specialist. Similar concerns of time and space were voiced and that the level of experience and expertise influenced the nurse's role in family assessment. Conclusion Whilst family assessment was similar across the two countries, the cultural aspect of family support influenced how the nurse engaged in family assessment. The development of simple questions to engage the family may improve overall family support.