DEVELOPMENT OF FAMILY

The development of family is a proccess of

change that happen on the family system,
covering the change in the pattern of
interaction and the relationship between
members in all the time.
A nursing done is closely associated with
the problem, namely, the risk of potential
and actual abusers. Nursing measure for
family is a promotif.
 THE DEVELOPMENT OF FAMILY
PHASES
The development of family phases are based
on Duvall and Miller Concept (1986).

1. Phase 1 The New Family

The new family started when a man
(husband) and a woman (wife) form a family
by married and leave their own family.
 THE TASK OF DEVELOPMENT
 Foster intimate relationships satisfying
 Foster a relationships with other family,
friends, and social groups.
 Discussed a plan to have a child.
The family have to make a decision when the
best time for having a child and number of
their child.
 PHASE 2
CHILD- BEARING FAMILY

This phase start when the family wait for

be born, from the pregnancy to their first
child birth. Further until the first child was
30 months.
 THE TASK OF DEVELOPMENT

• Preparing to be a parents.
• Adapt with the change of family
members, the role, interactions, sexual
intercourse and activities.
• Maintain a satisfactory relasionship in
the family.
A nurse have to facilitate a
relationship between the parent and
the child.
 PHASE III
FAMILY WITH THE PRE-SCHOOL
CHILD

Phase III start from the first child birth was

2,5 years and ends in 5 years old.
 THE TASK OF DEVELOPMENT

• Meet the needs of family members such

as the needs of shelter, privacy and sense
of security
• Helping children socialize
• Adapt to newborns, while other children's
needs must also be met
 CONTINUE

• Maintaining a healthy relationship both within

and within the family (other families and the
environment).
• Time sharing for individuals, couples and
children (the most troublesome stage).
• Division of family members' responsibilities
• Activity and time for stimulation to grow and
develop children
Parents have a role to stimulate the
individual development of children,
especially the independence of children
so that child development tasks in this
phase is reached.
 PHASE IV
FAMILY WITH THE SCHOOL CHILD

This phase begins when the child enters

school at the age of 6 and ends at the age of
12 years
 THE TASK OF DEVELOPMENT

• Helping the socialization of children:

neighbors, schools and the environment
• Maintaining the intimacy of the couple
• Meet the needs and the cost of life is
increasing, including the need to improve
the health of family members
At this phase parents need to learn to part
with the child, giving the opportunity for
children to socialize both school activities
and outside school.
 PHASE V
FAMILY WITH THE TEENAGER

This phase begins when the child is 13 years

old and usually ends up 6-7 years later,
when the child leaves his parents' home.
 THE TASK OF DEVELOPMENT
• Gives a balanced freedom to the responsibilities
of a teenager who has grown up and increased
autonomy
• Maintain an intimate relationship in the family
• Maintains open communication between child
and parent. Avoid debate, suspicion, and hostility
• Changes in role and regulatory systems for
family growth.
The purpose of this family is to release teenagers
and give them greater responsibility and freedom
to prepare for maturity
In this case parents need to create open
communication, avoid suspicion and hostility so
that the relationship of parents and adolescents stay
in harmony.
 PHASE VI
FAMILY WITH ADULT CHILD (RELEASE)

This phase begins when the first child

leaves home and ends when the last child
leaves home
 THE TASK OF DEVELOPMENT
• Expand the nuclear family into a big family.
• Maintaining the intimacy of the couple.
• Helping parents / spouses who are sick and
entering old age.
• Helping children to be independent in the
community
• Rearrangement of household roles and activities.
By the time all the children leave home
the couple needs to rearrange and
foster a husband-wife relationship as in
the initial phase.
 PHASE VII
MIDDLE AGE FAMILY

This stage begins when the last child

leaves home and ends at retirement or
one partner dies.
 THE TASK OF DEVELOPMENT

• Maintaining health.
• Maintaining a separate relationship
with peers and children.
• Increase pair power
After all the children leave the house, the
couple focuses on maintaining health with
various activities: a healthy lifestyle, a
balanced diet, regular exercise, enjoying
life and work and so on.
Couples also maintain relationships with
peers and their children's families.
 PHASE VIII
ELDERLY FAMILY
The last stage of this family development
begins when one of the couples retires,
continuing when one of the couples dies
until both of them die. At this stage the
usual stressors are decreased incomes, loss
of social relationships, loss of jobs and a
feeling of declining productivity and health
function.
 THE TASK OF DEVELOPMENT
• Maintain a pleasant home atmosphere.
• Adaptation to change of paganagan, friend,
physical strength and income.
• Maintaining the intimacy of husband and wife and
caring for each other.
• Maintain relationships with children and social
communities.
• Do a life review.
 Maintaining a satisfactory life arrangement by
allowing parents to stay home with their spouses and do a
life review, by remembering life experiences and successes
in the past parents will feel that their lives are qualified and
meaningful.
Golddrick and Carter developed a family life stage
model based on the expansion, contraction, and realigment
of family relationships. This model is provided using the
emotional, transitional, change and task aspects necessary
for family development.
 CONCLUSION
Family development is an important part in the
family nurse family concept needs to understand
every stage of family development and
developmental tasks. The assessment was
conducted to find out the extent to which the family
fulfilled its developmental tasks. Promotional
actions are mainly done if the family has not fulfilled
all the developmental tasks. Preventive action aims
to enable families to prevent the emergence of
problems in subsequent developments.
 BIBLIOGRAPHY

Muhlisin, Abi. 2012. Keperawatan

Keluarga. Yogyakarta: Gosyen
publishing.