Professor Paul Crawford

 Shapes and transforms the world, establishes who we are, and who others are in relation to us  Is the dominant activity in health care delivery  as care

 Fatalities  Poor compliance  Patient dissatisfaction  Poor outcomes  Litigation © Nelson Thornes 2006

 Brevity in health care interventions remains a high priority  ‘High speed society’  ‘social acceleration’ (Rosa & Scheurman, 2008)  ‘Blip Culture’  (Alvin Toffler, 1981)

 Practitioner time has often to be parcelled out sparingly (Deacon & Fairhurst, 2008)

 ‘You know it’s very much like a conveyer belt’  ‘turnover is very quick’  ‘you haven’t got enough time between patients to process’  ‘it’s a very quick turnaround’ From: Talking cleanliness in health and agriculture. RES

 Decompressing time and space (Menzies 2005)

 Counselling based  Durative (‘time-greedy’)

◦ Brief ◦ Ordinary ◦ Effective

Brief interactions can be bigger ‘inside’ than they appear from the ‘outside’ The Tardis Effect (Brown et al, 2006) © Copyright BBC

Be ordinary Be extraordinary Text © Paul Crawford 2006; Image © Imogen Gray 2007

 contributes to achieving good clinical outcomes  driven by evidence-based practice and practice- based evidence  promotes patient satisfaction  sustained by policy, organisational (e.g. higher education and health services) and practitioner commitment

 Development of 30 Core Skills  Informed Chief Nursing Officer’s Review of Mental Health Nursing (Department of Health, 2006)  Described and theorised in: Brown et al (2006); Crawford et al (2006); Crawford & Brown (2009); Crawford & Brown (2010)

 Evidence based health communication  New advances in researching communicative practice in healthcare

‘opening the gateway for career progression... providing understanding and knowledge about how individuals communicate... Tutor support was the best I have ever received’ 2010 graduate

 Brown, B., Crawford, P. & Carter, R. (2006) Evidence-based Health Communication. Open University Press: Maidenhead.  Crawford, P. & Brown, B. (2010) Fast healthcare: Brief communication, traps and opportunities. Patient Education & Counselling. Available online: DOI: /j.pec  Crawford, P. & Brown, B. (2009) Communication. In Mallik, M., Hall, C. & Howard, D. Nursing Knowledge and Practice: Foundations for Decision Making. 3rd ed. Balliere Tindall and the Royal College of Nursing: London.  Crawford, P., Brown, B & Bonham, P. (2006) Communication in Clinical Settings. Nelson Thornes: Cheltenham  Deacon, M. & Fairhurst, E. (2008) The real-life practice of acute inpatient mental health nurses: an analysis of `eight interrelated bundles of activity', Nursing Inquiry 15 (4):  Menzies, H. (2005) No Time: Stress and the Crisis of Modern Life. Douglas & Macintyre: Vancouver.  Rosa, H. & Scheuerman, W.E. (2009) High-Speed Society: Social Acceleration, Power, and Modernity. Pennsylvania State University Press: University Park, PA.  Toffler, A. (1981) The Third Wave. Bantam Books: London.