KONSEP KELUARGANurullya Rachma

Definition of FamilyComposed of persons joined together by

bonds of marriage, blood, or adoption and residing in the same household.

Family members are interacting and comunicating by each other in family social roles (husband-wife, father-mother, etc.)

Family used the same culture (taken from community with unique characteristic).

(Burgess et al., 1963)

UU No. 10 Tahun 1992Keluarga adalah unit terkecil dalam

masyarakat, yang terdiri dari suami-istri, suami-istri dan anak atau ayah/ibu dan anak.

Keluarga sejahtera : keluarga yang dibentuk berdasarkan atas perkawinan yang sah, dan mampu memenuhi kebutuhan hidup spiritual dan materiil, bertaqwa kepada Tuhan YME, memiliki hubungan yang serasi, selaras dan seimbang antar anggota, dan dengan masyarakat

Characteristics of Healthy Families(Beavers & Hampson, 1993)Consistently demonstrating high degress of

capable negotation skill in dealing with problems.

Being clear, open, and spontaneous in their expression of a wide range of feelings, beliefs, and differencess.

Being respecfull of members’s feelings.

Family FormsTraditional :

-Nuclear family- Dyad family- Single parent family-Single adult living alone-Extended family-Middle aged (elderly couple)

Nontraditional :-Unmarried parent & child family- Unmarried couple and child family-Cohabiting couple- Gay/lesbian family-Augmented family-Commune family-Foster family

Family NursingFamily as contextFamily as sum of its membersFamily subsystem as clientFamily as clientFamily as a component of society

1. Family as context

Family is viewed as context to the client or family members

Nursing care is individually focusedThe family is the background or secondary

focus the individual, the foreground or primary focus relative to assessment and intervention.

2. Family as sum of its membersCare is made available to or provided for all

the family members.A model that is implicit to much of practice

within family primary care and community health nursing.

The foreground is each of the client, seen as separate rather than interacting units.

3. Family subsystem as clientFamily subsystem are the focus and recipient

of assessment and intervention.The basis for interpersonal family nursing

(Friedemann, 1993, and Robinson, 1995).Family subsystem : parent-child relationships,

marital interactions, caregiving issues, etc.

4. Family as clientThe entire family is viewed as client or as the

primary focus of assessment and care.The family is in the foreground, with the

individual family members in the background or context.

Focus : internal family dynamics & relationship, the family’s structure & function, as well as the relationships of family subsystems with the whole and of family with its outer environment.

5. Family as a component of societyThe family is visualized as one subsystem

within larger system (community).The family is seen of basic social institution :

educational, welfare, or religious institution.

LEVEL OF PREVENTIONPrimary prevention1

.

SeSe2.

3.

secondary prevention

Tertiary prevention

FAMILY FUNCTIONAffective function : meeting the

psychological needs of family members.Social function : the primary socialization of

children aimed at making them productive.Reproductive function : continuity over the

generationEconomic function : the provision of

sufficient economic resources and their effective allocation

Health care function

STAGE FAMILY LIFE CYCLEBeginning familyChildbearing familyFamilies with preschool children (2,5 to 6

years)Families with school children (6 to 13 years)Families with teenagers (13 to 20 years)Families launching young adultMiddle-aged parentFamily in retirement and old age

I. Beginning familyEstablishing a mutually satisfying marriage

Relating harmoniously to the kin network

Planning a family

II. Childbearing familySetting up the young family as a stable unit

Reconciling conflicting developmental tasks and needs of various family members

Maintaining a satisfying marital relationship

Expanding relationship with extended family by adding parenting and grandparenting roles.

III. Families with preschool childrenMeeting family members needs for adequate housing, space, privacy, and safety

Socializing the childrenIntegrating new child members

while still meeting needs of other children

Maintaining healthy relationships within the family

IV. Families with school –aged childrenSocializing the children, including

promoting school achievement and fostering of healthy peer relations of children.

Maintaining a satisfying marital relationship

Meeting the physical health needs a family members

V. Families with teenagersBalancing of freedom with

responsibility as teenagers mature and become increasingly autonomous

Refocussing the marital relationshipCommunicating openly between

parents and children

VI. Families launching young adultsExpanding the family circle to young

adults including new family members acquired by marriage of children

Continuing to renew and readjust in the marital relationship

Assisting aging and ill parents of the husband and wife

VII. Middle-Aged ParentProviding a health-promoting environment

Sustaining satisfying and meaningful relationships with aging parents and children

Strengthening the marital relationship

VIII. Families in retirement and old age

Maintaining a satisfying living arrangement

Adjusting to a reduced incomeMaintaining marital relationshipsAdjusting to loss of spouseMaintaining intergenerational family

tiesContinuing to make sense out of

one’s existence