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Process Recording
PRESENTED BY:
RAHUL SINGH GUSAIN
M.SC (N) IST YEAR
Introduction
Process recording are the written reports
of verbal interactions with clients.
They are verbatim (to the extent that is
possible) accounts, written by the nurse or
student as a tool for improving
interpretation communication techniques.
Definition
 Process recording is a written account recording
of all that transpired, during and immediately
following the nurse patient interaction.
 It is recording of the conversation during the
interaction or the interview between nurse and
the patient in the psychiatric setup with the
nurse inference.
Purpose
 To critically analyze communication and its
effect on behavior of the individual.
 To gain the patients confidence and get
this cooperation.
 To establish rapport with the patient.
Contd..
 To study the patients psychological social and emotional
behavior.
 It helps to increase the ability to identify problems and
develop skills in solving them.
 It gives students an opportunity to gain the ease and
function in written expression that are important for
professional development.
Goals and objectives
 Establish a therapeutic nurse patient
relationship.
 To give necessary health education to the
patient.
 To obtain the identification data of the patient.
 To assess the insight of the patient.
Guidelines
General guidelines
 Process recording is one method by which we can record
the content of an interview.
 Record the conversation verbal time
 Use a recording device and obtain patients permission for
using it this will in reviewing the session if needed.
 Each process recording should be concluded with a
summary.
Pre- requisite of process recording
 Getting consent of the patient for the
possibility of cassette recording.
 Confidentiality should be maintain.
 Physical setting , calm and quite
environment.
Steps of process recording
 Preparation
 Record nurse patient interaction .
 written process recording may begin with
taken during the interview.
 Identification data
 Present Complaint
Outline for process recording
S.N
O
NURSES RESPONSE PATIENT RESPONSE THERAPEUTIC
TECHNIQUE
INFERENCE
VERBAL NON VERBAL VERBAL NON
VERBAL
Contd..
Conclusion
Summary
List of reference
Introspective observation
Interview technique used.
Evaluation
RECAPITALIZATION
SUMMARY
Conclusion
Conducting a process recording gives the
opportunity to improve the communication skill, ,self
awareness, assessments, learning to listen ,
observation and role playing.
A process recording provides with an additional
opportunity to practice nursing values and ethics.
Bibliography
 Mary. c. Townsend, psychiatric mental health nursing, jaypee
publication page- 158-159.
 Neerja Ahuja , a short textbook of psychiatric Ist edition, jaypee
brothers medical publishers
 R. Sreevani, A guide to mental health and psychiatric nursing 3rd
edition , Jaypee brothers. Medical publishers
 Internet references
 Scribd.com>mobile.doc
 Powershow.com
Process recording

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Process recording

  • 1. Process Recording PRESENTED BY: RAHUL SINGH GUSAIN M.SC (N) IST YEAR
  • 2. Introduction Process recording are the written reports of verbal interactions with clients. They are verbatim (to the extent that is possible) accounts, written by the nurse or student as a tool for improving interpretation communication techniques.
  • 3.
  • 4. Definition  Process recording is a written account recording of all that transpired, during and immediately following the nurse patient interaction.  It is recording of the conversation during the interaction or the interview between nurse and the patient in the psychiatric setup with the nurse inference.
  • 5. Purpose  To critically analyze communication and its effect on behavior of the individual.  To gain the patients confidence and get this cooperation.  To establish rapport with the patient.
  • 6. Contd..  To study the patients psychological social and emotional behavior.  It helps to increase the ability to identify problems and develop skills in solving them.  It gives students an opportunity to gain the ease and function in written expression that are important for professional development.
  • 7.
  • 8. Goals and objectives  Establish a therapeutic nurse patient relationship.  To give necessary health education to the patient.  To obtain the identification data of the patient.  To assess the insight of the patient.
  • 10. General guidelines  Process recording is one method by which we can record the content of an interview.  Record the conversation verbal time  Use a recording device and obtain patients permission for using it this will in reviewing the session if needed.  Each process recording should be concluded with a summary.
  • 11. Pre- requisite of process recording  Getting consent of the patient for the possibility of cassette recording.  Confidentiality should be maintain.  Physical setting , calm and quite environment.
  • 12. Steps of process recording  Preparation  Record nurse patient interaction .  written process recording may begin with taken during the interview.  Identification data  Present Complaint
  • 13. Outline for process recording S.N O NURSES RESPONSE PATIENT RESPONSE THERAPEUTIC TECHNIQUE INFERENCE VERBAL NON VERBAL VERBAL NON VERBAL
  • 14. Contd.. Conclusion Summary List of reference Introspective observation Interview technique used. Evaluation
  • 17. Conclusion Conducting a process recording gives the opportunity to improve the communication skill, ,self awareness, assessments, learning to listen , observation and role playing. A process recording provides with an additional opportunity to practice nursing values and ethics.
  • 18. Bibliography  Mary. c. Townsend, psychiatric mental health nursing, jaypee publication page- 158-159.  Neerja Ahuja , a short textbook of psychiatric Ist edition, jaypee brothers medical publishers  R. Sreevani, A guide to mental health and psychiatric nursing 3rd edition , Jaypee brothers. Medical publishers  Internet references  Scribd.com>mobile.doc  Powershow.com