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Nursing Commnunity I

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The Powers and Family Decision Making



BOBBY DWI PUTERA (1511314009)

Praise be to Allah SWT who has helped his servant finish this paper with full ease.
Without his help authors may not be able to finish it. The paper is structured so that the reader
can expand the knowledge about The Powers and Family Decision Making, which we present
is based on observations from a variety of sources. This paper was prepared by the authors with
many obstacles. Both coming from self-constituent or from the outside. But with patience and
especially the help of Allah, the paper finally be resolved.

Although this paper is not perfect, but it works fairly clear detail and language that is
easily understood by the reader. Our thanks goes to lecturer of Nursing Community that has
guided us and all those who have helped author of this paper finish. Hopefully this paper can
provide greater insight to the reader. We realize this paper has advantages and disadvantages,
constituent beg for advice and criticism. Thank you.

Padang, April 24, 2017

List of contents
Foreword.. i
List of Contents.. ii

1.2.Formulation of question.


2.1. The Powers family: Concept and Domain.

2.2. Variables that Affect the Dynamics of the Family

2.3. The Classification of the Power Structure of the Family as a Whole.

2.4. Healthy Family.

2.5. Family Studies..

2.6. Family Nursing Diagnosis..

2.7. Family Nursing Intervention..


3.1. Conclusion

3.2. Sugestion..



Power is a widely used concept in both the physical and social sciences, and as a result,
there are many definitions. In the physical sciences power refers to the amount of energy
transferred per unit of time. Electricians work to provide and restore this type of power as a
matter of course. Mathematicians have a different notion of power in mind when they talk
about a numeral to the second (or third) power. Sociologists describe power as the ability to
impose ones will upon others, and savvy researchers conduct power analyses before they
begin their experiments.

1.2. Formulation of question

1. What the powers family: concept and domain?

2. What the variables that affect the dynamics of the family?
3. What the the classification of the power structure of the family as a whole?
4. What the healthy family?
5. What the family studies?
6. What the Family Nursing Diagnosis?
7. What the family nursing intervention?

1.3. Purpose
1. Understand about the powers family: concept and domain.
2. Understand about the variables that affect the dynamics of the family.
3. Understand about the classification of the power structure of the family as a
4. Understand about the healthy family.
5. Understand about the family studies.
6. Understand about the family nursing diagnosis.
7. Understand about the family nursing intervention.


The Powers and Family Decision Making

2.1. The Powers family: Concept and Domain

The powers include the capacity to influence, control, dominate and make a decision.
Power is the actual potential of the individual's ability to control, influence, changing the
behaviour of others. power always involves the interpersonal relationships that are not
symmetrical, someone who interact shows greater influence or control in a relationship.
Power also multidimensional in nature, which means that power includes the components of
the social structure, the interaction (process) and results (McDonalds, 1980).

Power is a abstraks phenomenon, complex, multidimensional and that cannot be observed

directly. Therefore, to be seen from the behavior of the person or of the report concerned
family members, conducted through interviews with the purpose of advertising.
Observations made by outsiders and observations made by members of the family in terms
of the powers of the family often look odd among each other. (Szinofac, 1987).

2.1.1. Power Family

The power of the family, as the family characteristics of the system is the ability of
actual or potential of individual family members to change the behavior of other family
members (Olson & Cromwell,1975). The main component is the influence of the family
power and decision-making.

Power is the dimension of the system or subsystem family, which is not a

characteristic of the family members who separate from the family system. Thus, the
family's power can only be examined in the context of a system or subsystem, or more
specifically in the context of family interactions that are circular.

The communication pattern shows the role and power of the family dimension can be
seen in the process of the family. In addition, the dimensions of the powers specified in the
various family subsystems (e.g., siblings, subsystems subsystem wedding or adult spouse,
and parent and child subsystem, the family as a system that is comprehensive and the
relationship the family system with external social system relationship (Olson, Cromwell, &
Klein, 1975). There are 5 differences that can be analysed in terms of characterizing the
power family (McDonald, 1980), i.e. the power of marriage, parents, children, siblings, and
sudara kinship. But the study says the family just focus on power wedding (Balswick &
Balswick, 1995).
2.1.2. The Authority

The authority is a term associated with other very beliefs along with family members,
based on the cultural and normative as well as the designing of a family member as a person
who has the right to make decisions and accept leadership positions. Beliefs, values and
traditional role as the Foundation of a strong belief.

Power and authority are not necessarily obtained simultaneously. Family members
who have the authority to decide or act may not execute its power for a variety of reasons.
Family members who hold power in General may not be the actual power holders. Although
family members told health workers that dad "leading", health workers in the observation
could have noted that in fact the oldest boys who become holders of power (Pasquali,
Arnold, DeBasio, & Alesi, 1985)

2.1.3. The Cornerstone of Power

One of the striking aspects of the family's power is a cornerstone of power within the
family and the system is the source of origin of the powers of the Member of the family.
Cromwell and Olson (1975) identifies three domains of power families: the Foundation of
power, results of power and decision making process. Raven and colleagues (1975) as well
as Safilios-Rothscild (1976) identified different types of grounding of power commonly
found in families:

1. The power of legitimacy

2. The powers of the weak and powerless

3. the referring Authority

4. Power source

5. expert Power

6. Power award

7. Power force
8. Power informasional

9. Powers of the affective

10. Power Management peace of

2.1.4. Result of Power

Results of power is the focus of a decisive decision against whom or who is in control.
In the results of power also enquire regarding ideas or suggestions who ultimately used
when major decisions and choices to be made. Komarovsky (1964) noted that "power is
more noticeable at the end of a dispute the decision in the victory of one of the spouses".

2.1.5. Family Decision Making

Decision making is a process which is directed at the achievement of the agreement

and commitment of family members to carry out a series of actions or make something
accomplished. The process of making a decision is the principle of the power index (Blood
& Wolfe, 1960).

There are three types of decision making process of consensus decision making, i.e.
accommodation, and de facto.

The first type of decision consensus. Consensus decision is a decision that was
approved by all involved. There is a similar commitment to decide, so is the satisfaction with
the decision by the family members. This decision was approved through discussion and

The second type i.e. decision-making or accommodation. Decision making or

accommodation is derived from the existence of a problem, issue or conflict. A person or
more family members to make a deal and some people agree in order to reach a decision.
This can be done by way of a compromise on a voluntary basis.

The third type, namely the de facto decision making. The de facto decision making
happens when it allowed just happens without any planning. The de facto decision making
looks at the mess and had family problems.
2.2. Variables that Affect the Dynamics of the Family

There are several possibilities that important variables significantly affect the
dynamics of the family power and decision-making.

2.2.1. The hierarchy of power Family

Each family has a power hierarchy or "hierarchical order". On the who's

traditional core and in most families today, the power structure is the hierarchical nature
of the storied power structure and power from top to bottom. Men often develop and
sustain his power against women and parents are almost always more powerful than
children (Hoffman, 1981).

2.2.2. The Type Family

Family forms is another factor that affects the dynamics of the power of the
family. For example, in family foster parents of the newly formed married again raises
the pressure on families to change the new hierarchy of powers that exists in a single
parent family (Ganong, Coleman, & Fine, 1995).

2.2.3. The Formation of the Coalition of Families

Another way the power structure of a family changed by forming a coalition. The
Coalition may be temporary, the Alliance based on problems or long-term Alliance
created to counterbalance the dominance of the cursor or more other family members.
Family members form a coalition based on the power of each Member of the family
(Caplow, 1968). Subgroup in a families banded together to support each other and
improving their relative power position against other family members (Stachowiak,

2.2.4. Network Communications Family.

Family communication network connected with the power structure. Age, gender,
and personality of the family member affects the nature of the communication network
of the family. In family communication rarely has the same intensity in each
relationship couples family, so in need of a mediator if there is a problem within the
family. A person who serves as a family mediator in communication i.e people who
interact directly with all family members. Therefore penegah must understand the
attitudes and opinions of all the members of his family, in which the mediator can use
informsai to mediate his family.

2.2.5. Gender Differences

There is broad agreement in the literature, particularly literature about women,

that gender relations based on power (Ellman & Taggart, 1993) and women have lower
power than in men. Much of the difference in power within the family based on the
economic equivalent. Goldner (1985) assumes power as the key to understanding the
interaction of families since the reign of women is lower than that of men, the way
women use different power with men and vice versa. Kranichfield (1987) gives a more
positive about the power of women in the family. He stressed that in the domain of
family, in fact women have considerable power, which are often not visible. Power
women are pervasive if power is defined as the ability to bear the brunt, educating and
impacting on the personality, the values and beliefs of each new man in the community.

2.2.6. The Age Factor and the Family Life Cycle.

Family decisions and power among the various family members in accordance
with the stage of the life cycle of the family. On a family that has kids that there are still
small, the evolution of the concentration of power in the hands of adults when the kids
were little power-sharing arrangement until greater often children become adults. The
oldest son of entire adult life have more power in the family than in when they were still
small, and the elderly in the family often experience a drop in power, when they lost the
source (Client & White, 1996)

2.2.7. The cultural and Interpersonal Factors

Ethnic and religious differences among families also determine the difference in
the setting of the power. For example, the predominance of men in general seen in
cultural adjustment of immigrant families from Europe, Asia, Latin America, Africa and
the Middle East. In traditional Asian immigrant family that has a strong Confucian
country, the man regarded as the person who is authorized in a family. Because it is
believed that man has many important responsibilities.

2.2.8. Social Class

The term social class is a large group of people who have the income, wealth,
living conditions, live odds, and a lifestyle that is relatively the same (Ropes, 1991). The
term economic status and social status is often used synonymously with the term social
class. There are three classic difference in power family cross social class: lower class
families, working class family, and a middle-class family.

2.3. The Classification of the Power Structure of the Family as a Whole

Classification systems are often used for stating whether a family dominated by a single
member of the egalitarian power structure, had or did not have effective leadership.

Two types of families are much elaborated with literature in recent years.

1. Traditional, patriarchal Family

In the family patriarchar, traditional (heteroseksuel), the father is the head of the family,
with relatives who are in his hand, as well as his wife, children of men and their wives and
their children, as well as unmarried girls, came under the authority of the father as the head
of the family.

2. Families of the Democratic, Egalitarian, or Modern

On the basis of equality between husband and wife, with the deal in making decisions and
increased participation by children in accordance with their growth into adulthood.

Although the transition has occurred gradually originally was a traditional family
structure into a modern family structures. yet the roles of men and women in the family was
defined and mediated in a socio-cultural, and sruktur family is not easy and quick to change.
Men are more likely to use the powers of experts or power direct informasional as the basis
for the influence of the family on the use of authority. Women, still using power refren,
power "ta k powerless" and power informasioonal indirectly. As evident in women also had
the powers of implementation, but often not the powers of orchestration,

Tripologi classify other powers which are often used in wedding or family subsystems.
Divide the powers of the wedding into a pattern of otokratik, sinkratik and otonomik. Pattern
otokratik occurs when one member of the family dominated the family. Power pattern
sinkratik occurs when both partners in a marriage to make decisions involving family
members. Otonomik power structure is present on the two couples sharing the same power
but do this by running the function independently in making decisions and their activities.

2.4. Healthy Family

Power characteristics of a healthy family looks to reflect the following:

A coalition of parents plays an important role in the determination of the competence of

the family as a whole, the leadership provided by a coalition of parents as a model who
looks is an important value of learning for children. Leadership is shared jointly by the
parents, the trend towards highly egalitarian marriage as opposed to a wedding that is more
on the family and marriage patterns of dominance and submission are often seen on the
dysfunctional family.

On the healthy families, parent acting as a coalition, not inside their power in a way that
otoritarian and stiff, but in gayan their leadership make room for choice and negotiation.

Marchin (1974) approved the findings of lewis and his partner, he asserted that the most
important aspect of power within the family is the existence of a hierarchy of functions, i.e.
functions clear da parents as subsystem eksklusf and children have different levels of
authority. For families to function effectively should there are also functions that
complement each other, with husband and wife receive the interdependence and work as a

2.5. Family Studies

How a nurse examines and measures the throne in a family is the key to getting valid data
from power within the family. One of them with a combination of family interaction
observations and reports from family members (Szinovacz, 1987). A partner may have
power "orchestration" or "implementation of" (Safilos-Rothschild, 1976). Okestrasi own
power means a couple that rarely make the decision, but once made the decision, usually is
crucial. Whereas the powers of implementation means the kind of power, where power is
vested in the executor implementation.

The powers of the family itself is complex with many factors affecting the creation of
power. By way of summarizing things the following:

2.5.1. Results Of Power

Results Of Power that is the form of the final form of decision-making, especially to
find out who is taking decisions and how important. By asking questions about the
financial, social, major decisions and parenting.

2.5.2. The Process Of Making A Decision

The process of making Decisions aimed at knowing the family in decision making
techniques, either in the form of the result of the agreement, bargaining, compromise,
coercion, as well as Chancellor de facto.

2.5.3. Grounding Of Power

Cornerstone Power Analyses about who and how a particular decision making/type
with a few specific petanyaan.

Influence of family Power variable The variable here is the form:

Hirearki family

Type of family forms

the formation of a coalition

family communications network

gender differences

factor age

cultural factors


Aimed at maximizing the nursing action form that will be given.

2.5.4. Power Sistemdan The Whole Family Subsystems

Is the determination thoroughly power pattern of decision making process and

satisfaction over the decision ever taken before. Whereas the form subsystem that
examined the interaction processes of observation in the form of a family member. As
well as the characteristics of power based on the results of the interview.

2.6. Family Nursing Diagnosis

After mamahami the structure of the kekuasaann it was only a nurse's family could
specify the ntervensi diagnose dani will be given to the family. This is part of a study of the
family. It's important to know that nurses are talking with the right people associated the
power structure of the family.

Hirearki powers intact and clear and functioning properly is a healthy structure, so it can
be given diagnose health promotion. For example, suppose that in the family tualemah,
nurse people subsystem can help parents plan strengthens the subsystem.

2.7. Family Nursing Intervention

If there are conflicts in family decisions and powers, and keluraga interested in overcoming
the conflict, the nurse can be instrumental in helping him (McFarland & McFrlane, 1993).
With the guide of "conflict of Decisions" in NANDA.

Other nursing interventions can be a model of empowerment, for which the model was
submitted so that each Member of the family advocacy (adults) can bring the family a
stronger will. Empowerment does not involve the handover of power, but rather to the
empowerment as an active process that aims so that each pair achieve potential as high as
possible in order to strengthen the result of power and on the other (Balswick & Balswick, p.
311, 1995). So the yield strength and a healthy interdependence as well as a sense of
autonomy and mutual respect (Balswick & Balswick, 1995).


4.1. Conclusion

Power is the actual potential of the individual's ability to control, influence, changing
the behaviour of others. power always involves the interpersonal relationships that are not
symmetrical, someone who interact shows greater influence or control in a relationship.
Power also multidimensional in nature, which means that power includes the components of
the social structure, the interaction (process) and results (McDonalds, 1980). There are
several possibilities that important variables significantly affect the dynamics of the family
power and decision-making.

4.2. Suggestions

The advice from our group of manufacture of this paper hopefully many help in
prevention and treatment. even though we know we arrange papers is far from perfection.
Therefore please advice and criticism for the achievement of making the next paper better.

Friedman, Marilyn M, Vicky R. Bowden & Elaine G.Jones. Keperawatan Keluarga. Edisi 5.
Jakarta 2010.