Importance of Process Recording in Nursing Case Study

Importance of Process Recording in Nursing - Case Study Example The parts of the conversation that went well were in the therapeutic practices of silence, clarification, and reflection. She was allowed to be in control so she could direct the conversation, the silence allowing for her to expand upon her thoughts about her feelings of anger and regret. As a listener, it was important to reflect back to her what she was saying, helping her to clarify her thoughts and paraphrasing when necessary in order to fully explore the topic and allow her room to discuss her feelings. In repeating what she said back to her, it allowed her to hear her own words and to help find interpretations about what she was trying to convey during the interview. Paraphrasing is feedback that will allow the patient to know that the listener is hearing what is being said, as well as acknowledging the beliefs and feelings of the patient (Basavanthappa, 2004).  The parts of the conversation that went well were in the therapeutic practices of silence, clarification, and refle ction. She was allowed to be in control so she could direct the conversation, the silence allowing for her to expand upon her thoughts about her feelings of anger and regret. As a listener, it was important to reflect back to her what she was saying, helping her to clarify her thoughts and paraphrasing when necessary in order to fully explore the topic and allow her room to discuss her feelings. In repeating what she said back to her, it allowed her to hear her own words and to help find interpretations about what she was trying to convey during the interview. Paraphrasing is feedback that will allow the patient to know that the listener is hearing what is being said, as well as acknowledging the beliefs and feelings of the patient (Basavanthappa, 2004).   A big mistake at the end of the interview was in giving my opinion on what she could consider when thinking about the past. Giving an opinion, according to Basavanthappa (2004), is one way in which to interrupt the work that a p atient is doing about a topic. Opinions are not a good way to work with people when in a therapeutic session. As well, I found that my own feelings about the topic were impeding my listening capabilities. I do not know why portions of her conversation made me feel annoyed and almost angry, but what she said was affecting my own feelings. I did not find her annoying, or her topic to be annoying, but for some reason, I felt annoyed about something she was saying. It may be that I was reflecting her feelings through my own, adopting what she was feeling into my own emotions. I was frustrated for her and felt her grief at not accomplishing what she desires to accomplish.   At one point I felt superior during the conversation as if I understood her completely and could keep her on point. This was a mistake as I worked towards getting to the root of the issue. I led her, to an extent, and this is not always the way to provide therapeutic support. It is possible that when I inserted the idea of teaching about life into the conversation, I took too much control. As I reflect on the conversation, it seems as soon as I said what she may have been angry about; her ability to communicate about it was stalled. I may have put up a communication barrier, stopping her from being able to express her own feelings and in the process of trying to focus the conversation, it may have been stunted from my making assumptions.   This conversation was an interesting experience in trying to keep a focused conversation while maintaining objectivity about the experience. In reflecting on my own behaviors, it is clear that I inserted too much of my own beliefs into the topic. At the time it seemed that the conversation was client directed, but it might be that I directed too much of the direction of the talk. In looking back on how the interview was conducted, it might be said that I was not focused on the patient, but on my own capacity to understand the ideas she was presenting. I fi nd that the process of working on this type of communications is necessary as I see that it is not as easy to accomplish as it might appear.