Process recording is a written account of verbal interactions between a nurse and patient used to improve communication skills. It involves verbatim recording of conversations to analyze the communication's effect on behavior, establish rapport, and study psychological and social aspects. The goals are to build a therapeutic relationship, provide health education, obtain patient data, and assess insight. General guidelines include recording conversation details, time, obtaining permission to record, and including a summary. Pre-requisites are patient consent, maintaining confidentiality, a calm environment, and preparation.