PROCESS RECORDING

DEFINITION
• It is the written account of verbatim
recording of all that
transpire/emerged, during and
immediately following the nurse
patient interaction.

• An exact written report of

conversation between the nurse
and the patient during the time
they were together.
-Hudson
Uses Of Process Recording

1. Teaching learning tool

2. Evaluation tool
3. Therapeutic tool
4. Apply theory to practice
5. Increases problem solving
skills
 PURPOSES
– To improve the quality of nurse patient
interactions.
– To assist the student nurse to plan,
structure and evaluate the interaction in
a conscious level
– To gain competency in interpreting and
synthesizing raw data under supervision.
– To develop awareness about own
habitual, verbal and nonverbal
communication pattern and the effects
on others
PRE-REQUISITES /ELEMENTS FOR
PROCESS RECORDING

• Physical setting - Calm and quiet

environment
• Obtaining consent for the patient for
recording the information.
• Conversation skill.
• Interaction pattern.
• Maintain confidentiality of information.
Phases /Technique of Process
Recording

1.Preparing the student for process recording.

2.Recording nurse patient interactions.

3.Evaluating the interactions by the instructor

and the student.
RECORDING NURSE PATIENT
INTERACTION
• Consist of 4 parts
– The exact verbatim of the nurse patient
conversation
– The student conscious feeling and her
interpretation of the patient feeling.
– Analysis for meanings and cues to
patients needs
– The instructor’s and the student
evaluation of total process recording
experiences
STEPS IN PROCESS
RECORDING
1.Collection of raw data
2.Interpretation
– Assumption level
– Supposition level {tentative :open questions}
– Opinion level
3.Application of concept of the data
4.Analysis
5.Synthesis
GUIDELINES TO
STUDENTS
??
CRITERIA FOR GOOD PROCESS
RECORDING

• Objectives should note before the

conversation
• A minimum of 2 people.
• Reassurance of patient regarding
confidentiality.
• Notations on thoughts, feelings and
action.
• Time limit {30min}