ANALISIS PROSES INTERAKSI Inisial Pasien : ……… Nama Mahasiswa : …………. Status interaksi perawat–pasien : ……… Tanggal : …………. Lingkungan : ……… Waktu : …………. Deskripsi Pasien : ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… Tempat : ………………………………………………………………………………………………………………………………………………………… Tujuan Interaksi : ………………………………………………………………………………………………………………………………………………………… Komunikasi Verbal
Komunikasi Nonverbal
Analisis Berpusat pada Perawat
Analisis Berpusat pada Pasien
Rasional
KESAN PERAWAT: ..................................................................................................................................................................................................................................................................... ..................................................................................................................................................................................................................................................................... .....................................................................................................................................................................................................................................................................