1. Barriers to Effective Communication Time

2. Scenario • Will be in an interactive video format • Will consist of two videos • First will show how time can be a barrier and the second how it can be used effectively to aid communication

3. It will take place on a general ward • It will begin with a client with an intellectual/learning disability trying to ask a nurse for help • The nurse will stop and stand over the client asking abruptly ‘’what do you want’’ • Client has only non-verbal communication skills

4. Then a clock will appear it will giving the person using the RLO 10 seconds to try and figure out what the client wants • This will be made difficult by having the client only begin to try and communicate what they want in the 10 seconds

5. The user will then be asked what they think the client wanted from the nurse • They will be given 4 options • Client wished to use the toilet • Client wanted a drink • Client was hungry • Don’t know • When they get it wrong or answer don’t know a new video will appear

6. It will show a calm nurse who sits next to the client in order to communicate and calmly asks the client ‘’ how can I help you and take your time there is no rush’’ and then a clock will appear giving the user 60 seconds to figure out what the client wants

7. The client should then proceed to be seen pointing and making gestures that mean nothing at all to make the person watching the video be patient enough to wait. • To ensure the message of how time is important the universal sign for drink should not be used by the client at least 30 seconds into the second video

9. They may stop the video at any time if they feel they know the answer the will be given three choices which will be • Client wished to use the toilet • Client wanted a drink • Client was hungry • The correct answer being the client wanted a drink

10. Then the nurse says ‘’oh you would like a drink’’ the clients nods yes in answer and the video ends and asks the user the question ‘’Did you ever think that one minute could make a difference’’