PROCESS RECORDING IN NURSING EDUCATION....NURSESOUTLOOK

PROCESS RECORDING
            It is a tool used in teaching counselling and psychiatric field. Its also known as interpersonal relations recordings patient nurse interaction interviews. It is being utilized as a tool to help them in assisting nursing students to acquire understanding of and competence in IPR.
DEFINITION
            A verbatim account of a visit for purposes of  bringing out the interplay between the nurse and the patient in relation to the objectives of the visit.
PURPOSE
1.     As a teaching tool
2.     As a self-evaluation tool
3.     As a therapeutic tool
ELEMENTS
1.     Conversational skills
2.     Skills in interviewing for a specific purpose
3.     Verbal and non-verbal cues to the patient’s needs
4.     Skill in meeting the patient’s needs
5.     Awareness of the behaviour in relation to the patient
6.     Control of behaviour as a result of awareness
7.     Recurrent themes in the nurse patient interaction
8.     Skills in verbal intervention
9.     Interaction patterns
10.  Genetic experiences out of which the interaction patterns are developed
TECHNIQUES
1.     Preparing the student for process recording
Ø  The researcher must help the student to define clearly the appropriate objectives to be accomplished regarding nurse patient interaction
Ø  Teacher should help the student to learn how to go about in writing a process record
2.     Recording nurse patient interaction
Ø  The exact verbatim of the nurse patient interaction
Ø  The student’s conscious feelings and her interpretation of the patient’s feelings
Ø  Analysis for meanings and clues to patient’s needs
Ø  The instructor and the student evaluation of the total process record experience
3.     Evaluating the nurse patient interaction
Ø  After the interaction data have been collected by the student the teacher and the student have the subject matter for a learning experience
Ø  Analysis of data is time consuming and should be considered by the teacher before she selects the process recording as a teaching tool
Ø  During the process on analysing the recordings the objectives of the learning experience should be kept clearly in focus
Ø  The teacher must discuss the process recording with the student
Ø  The teacher should help the student to explore the reason for nurse patient interaction
FORM OF PROCESS RECORDING
·       Goals for working with assigned patient
·       Important factors in patient’s personality development
·       Somatic therapies and medications for patient
·       Date each recording
·       Amount of time which you spent with the patient
·       Describe briefly the setting or situation previous to conversation
·       Identify the patient’s needs as represented by behaviour
·       Identify mental mechanisms that you think the patient is using and give examples
·       After completion of this assignment comment on how well you were able to meet the goals which you set up for working with assigned patient
·       Evaluate the process record as a learning experience for you at the end of the assignment




FORMAT OF PROCESS RECORDING

Conversation between nurse and patient
Student’s comment
Instructor’s comment















NURSING CLINIC-Importance in education,,,,NURSESOUTLOOK

NURSING CLINIC
           

 The nursing clinic or patient presentation utilizes the presence of a selected patient as its focus for group discussion. It affords a direct experience in the discussion of principles and practices of nursing care relative to a given patient. The purpose is the improvement of nursing care.


 The most effective nursing clinics are those that are planned, which involves
  1.        Determining the purpose
  2.        Selecting a patient for whom students have given nursing care
  3.        Securing the patients consent and proper legal clearance
  4.     Selecting the setting to be used-the patient’s bedside or a conference room visited by the patient.

·       Providing advance preparation of the student in terms of the name of the patient, the purpose, place, date and time and any specific instructions regarding preparation for the discussion.

The group discussion generally consists of three phases:
·       The introduction- 
It serves to acquaint the students with the patient’s background, presenting nurse care situation, the purpose of the discussion, significant observations, types of questions to be asked and needed information.
·       The patient-centred discussion- A few simply asked questions directed to the patient are usually sufficient for obtaining the needed information. Ample opportunities should be allowed for patients to verbalize their needs and how they see their particular problem.
·       The evaluation discussion- It offers an excellent opportunity for students to evaluate the patient’s behaviour, ability to solve his own problems and various other aspects. The students can be evaluated in terms of their observations and ability to use problem solving techniques.
In nursing clinic the patient’s medical history and therapy are discussed only briefly, but the emphasis is on the nursing problems, including the physical, mental and social aspects.

PURPOSE
1.     To apply theory into actual practice by observing interviewing and studying a patient
2.     To apply knowledge and experience to the real life situation
3.     To understand certain type of apparatus.
4.     To improve the nursing care

PREPLANNING THE CLINIC
1.     Determining the purpose of the clinic.
2.     Selecting a patient for whom students have given the nursing care.
3.     Securing the patient’s consent
4.     Selecting the setting to be used.
5.     Providing advance preparation for the students

LEVELS OF DISCUSSION
1.     Introduction
2.     Patient centred discussion
3.     Post clinic evaluation discussion

Clinics develop the powers of observation and stimulate thought and consideration of the nursing care of the patients. All the students apply their knowledge, skills, attitudes and appreciation to the subject of clinic. Clinics also help to meet situations presented by the patient.

SYMPOSIUM IN EDUCATION,,,,NURSESOUTLOOK

SYMPOSIUM
INTRODUCTION:
               All instruction should be carefully graded and arranged in a natural order. The teacher in her methods should appeal through sense perception to understanding of the students. Education must begin with the student and must be adopted to the needs and requirements of the student and her grows. Progressive methods of teaching provide suitable opportunities for learning by doing.
SYMPOSIUM
               Two or more persons under the direction of a chairman present separate speeches, which gives several aspects of one question.
               To investigate the problem from several point of view.
               Symposium consist of a set of program of prepared speeches followed by audience discussion.
               Several people present speeches representing different approaches to the same problem. These from the basis for the general group participation. Each individual may be given separate topic, or taken together, they represent a broad consideration of the topic – A series of related papers are presented.
DISADVANTAGES :
-        Lack of time
-        Inadequate opportunity for all the students to participate actively.
-        Time is limited to 15-20 min.
-        Audience participation is limited.
TECHNIQUES :
Success depends on the personal involved and the degree of participation.
-        The teacher should plan the program ahead of time.
-        The teacher and members should know the objectives of the symposium and the breadth of the topic to be discussed.
-        The teachers or student may function as chairman, she will introduce the topic, and the chairman introduces each of the speakers.
-        To have unity and proper sequence, the chairman may give transitional statement between speeches. Then she gives a brief summary at the close of all the speeches and opens the discussion to the audience.
-        She directs questions to the various members of the group trying to give all individual an equal opportunity.
CONCLUSION:

               The nurse educator has the important task of training in teaching skills to deliver the content by using various teaching strategies in better manner. The teachers must know what all methods of teaching are and techniques, Advantage, disadvantage. It will be giving the good teaching skills.