The document discusses process recording, which is a method used by nurses in psychiatric wards to record interactions with patients. Process recording involves writing a verbatim account of a nurse-patient interaction along with the nurse's inferences. It aims to improve the quality of interactions for better patient outcomes and provides a learning experience for nurses. Key elements of process recordings include identification data about the patient, presenting complaints, history, and objectives of interviews. The process helps nurses plan, evaluate, and improve their clinical skills through conscious reflection.
2. INTRODUCTION…
• Recording is an important & necessary
function of any organization whether it is an
industry, a business enterprise, a hospital or
for that matter even farming.
• Recording is done in different ways in different
organization & situations.
• Process recording is the method of recording
used in psychiatric wards by nurses.
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3. DEFINITION
Process recording is a written account
or verbatim recording of all that transpired,
during & immediately following the nurse-
patient interaction. In other wards, it is the
recording of the conversation during the
interaction or the interview between the nurse
& the patient in the psychiatric setup with the
nurse’s inference. It may be written during the
interaction or immediately after the one-to-one
interaction.
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4. PURPOSE AND USED
• The aim of process recording is to improve the
quality of the interaction for better effect to the
patient & as a learning experience for the nurse to
continuously improve her clinical interaction pattern.
• Assist the nurse or student to plan, structure &
evaluate the interaction on a conscious rather than
an intuitive level.
• Assist her to gain competency in interpreting &
synthesizing raw data under supervision.
• Helps to consciously apply theory to practice.
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5. Count…
• Helps her to develop an increased awareness of her
habitual, verbal & non-verbal communication pattern
& the effect of those patterns on others.
• Helps the nurse to learn to identify thoughts &
feelings in relation to self & others.
• Helps to increase observational skills, as there is a
conscious process involved in thinking, sorting &
classifying the interaction under the various headings
• helps to increase the ability to identify problems &
gain skills in solving them.
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6. PRE-REQUISITES FOR
PROCESS RECORDING
• Physical setting
• Getting consent of the patient for the
possibility of cassette recording
• confidentiality
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9. II. PRESENT COMPLAINTS:
a) According to the patient
b) According to the relatives
III. HISTORY OF PRESENTING COMPLAINTS:
IV. AIMS AND OBJECTIVES OF INTERVIEW:
• Patient’s point of view
• Student’s point of view
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10. First Interview
Date:
Time and Duration:
Specific Objectives:
Summary
1. Summary list of reference
2. Introspective observation
3. Interview techniques used.
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Participants conversation Inference