Communication refers to the reciprocal exchange of information between individuals through verbal and nonverbal means. It serves several purposes in healthcare, including collecting assessment data, initiating and evaluating interventions, and analyzing factors affecting the health team. Records document relevant health information and come in various types, like medical records and family records. They supply essential data for planning, provide a baseline, and indicate future plans. Reports summarize activities, observations, and the progress toward goals over a specific time period and also aid in studying health conditions and planning. Characteristics of good records and reports include timeliness, permanence, completeness, signatures, confidentiality, and accuracy.

1. Communication
Mo Faishal
Nursing Tutor

2. Introduction
 The term communication is derived from
the latin word “communis” meaning
common.
 In general, communication refers to the
reciprocal exchange of information,
ideas, facts, opinions, beliefs, feelings &
attitudes through verbal or nonverbal
means between two people or within a
group of people.

3. Definition
 Communication is a process by which information is
exchanged between individuals through a common
system of symbols & signs of behavior - Webster’s
Dictionary
 Communication is interchange of thoughts, opinions or
information by speech, writing or signs - -Robert
Andersion

4. Purpose of Communication
 To collect assessment data
 To initiate intervention
 To evaluate outcome of intervention
 To initiate change which helps in promoting health
 To analyze factors affecting the health team

39. Records
 “A record is a permanent written communication that
documents information relevant to a clients health care
management” – Potter and Perry
 E.g. client chart is a continuing account of client’s health care
status and need.

40. Purposes of records
 Supply data that are essential for program planning and evaluation.
 To provide the practitioner with data required for the application of
professional services for the improvement of family’s health.
 Records are tool of communication between health care workers , the
family and other development personnel.
 A records indicates plans for future.
 It provide baseline data to estimate the long term changes related to
services.

41. Types of Record
 Cumulative or continuing records – it is helpful for review the
total history of an individual and evaluate the progress of a
long time period.
 Family record
 Ward record
 Medial / nursing record
 Student record
 Staff record
 Academic / administrative record

42. Reports
 “Reports are the information about a patient either written or oral”
(Sr.Nancy)
 “A reports is a summary of activities or observation seen ,
performed or heard” (Potter and Perry)
 Purpose of reports -
 To show the kind and quantity of services rendered over to a specific
period.
 To show the progress in reaching goals.
 As an aid in studying health conditions.
 As an aid in planning

43. Types of reports
 Change of shift report – it is a report given to all nurses
on the next shift.
 Telephone report – health professionals frequently
about a client by telephone.
 Transfer report
 Incident report - occurrence reports are to used to
document any unusual occurrence or accident in the
delivery of client care.
 Legal report

44. Characteristic of good record
and report-
 Timing
 Permanency
 Completeness
 Signature
 Confidentiality
 Accuracy
 Use of standard terminology

45. Nurses responsibility for
record keeping and reporting
 Keep under safe custody of nurses
 Not accessible to patients and visitors
 Records are not handed over to the legal advisors
without written permission of the administration
 Handed carefully , not destroyed
 Identified with bio-data of the patients such as name ,
age , admission number , diagnosis etc.
 Never sent to the outside of the hospital without the
written administrative
 Accurate recording and reporting of all abnormal mode
signs and symptoms observed.