Process Recordings
Process Recordings
APPENDIX A
NUR 325 PSYCHIATRIC MENTAL HEALTH NURSING PROCESS RECORDINGS The process recording is a tool to help the student think objectively, logically and scientifically about interaction with clients. The objectives for this leaning exercise are to assist the student to: 1. Deliberately plan interaction in order to achieve the goals the student and the client have set up for the relationship. 2. Improve the students skill as a participant observer in nurse/client interactions. 3. Judge whether the responses the student uses are the most effective in helping the client define his problem and assist the client to solve problems. 4. Become more aware of how feelings affect the way the student responds and what affect the students behavior has on the patient. 5. Examine the students and the clients behavior in light of the theories and principles of the behavior sciences and psychiatric nursing. I. Introduce each process recording with a description of your thoughts and feelings prior to the interaction. Summarize the events that led up to the interaction. Describe the setting in which the interaction takes place. Identify what phase of the nurse/client relationship you are in, what tasks you are working on. Objectives for this interaction The purpose of identifying objectives for each interaction is to prompt thoughtful planning to advance the relationship and achieve expected client outcomes, there should be at least two (2) objectives for each interaction, one for yourself one for the client. The objectives should address the tasks of whichever phase of the nurse/client relationship the student is in. A. The objective for yourself will be based on your assessment of your own ability to relate to clients, what you think your problems are in this area, what skills you would like to develop or improve, e. g. if your client is very withdrawn and uncommunicative you may feel you need to increase your ability to tolerate long periods of silence. The objective for the client will be based on your initial and ongoing assessment. It may address problems that require nursing intervention or client resources that would be enhanced by nursing support and reinforcement.
II.
B.
The objectives should not decrease your spontaneity and openness to the clients needs of the moment. You may find, once the interaction begins, that his/her or your immediate needs are quite different. Start out with definite objectives but be ready to shift the focus if the client has more immediate needs.
Page 1 WAYNESBURG COLLEGE DEPARTMENT OF NURSING PSYCHIATRIC MENTAL HEALTH NURSING - - PROCESS RECORDING Student: Patient Initials: Age: Nursing Diagnosis: _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ Family: Community: Medical Diagnosis (DSM-IV): _______________________ _______________________ _______________________ _______________________ _______________________
List what your objectives were in interacting with this individual: (Be specific and concrete) Self:
Patient:
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Evaluation of Process Recording 1. Identify how each objective was met or not met. Be specific, and validate your conclusion by example. If not met what would/could you have done to meet the objective?
2.
Identify specific communication techniques utilized. Which of these thecniques facilitated the communication process most effectively? Which least effectively?
3.
Evaluate your effectiveness in the following areas: answers. a. Helping the patient communicate:
Validate your
b.
c.
d.
4.
Self-Awareness What have you learned about yourself from this interaction that you didnt know before?
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