SUBMITTED TO SUBMISSION BY

MS. NANDINI BHUMIJ MR. GOPI KRISHNA RANJAN

ASSISTANT PROFESSOR M.Sc NURSING 2ND YEAR

MENTAL HEALTH NURSING ROLL NO. :- 19MSN003

NARAYAN NURSING COLLEGE NARAYAN NURSING COLLEGE

GNSU, JAMUHAR, SASARAM GNSU, JAMUHAR, SASARAM

SUBMISSION ON :

  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.
 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

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 

SL.NO. NURSES RESPONSE PATIENT THERAPEUTIC INFERENCE

RESPONSE TECHNIQUE
VERBAL NON VERBAL VERBAL NON VERBAL

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.
 R. Sreevani, A guide to mental health and psychiatric nursing 3rd edition , Jaypee brothers.
Medical publishersNeerja Ahuja , a short textbook of psychiatric Ist edition, jaypee brothers
medical publishers.
 Internet references 
 Scribd.com>mobile.doc
 Powershow.com