University of Texas at

Arlington
Leadership and
Management
CHANGE THEORY
N4455 PROJECT
By : Jordan Gossage
 Blood clot that
develops within a deep vein in
the body, usually in the leg

PREVENTIO Cause
N OF DVTS
• Prolonged bed rest
• Surgery
• Pregnancy
• Certain medication (birth control)
• Obesity
 • Strengths
Decreases the number of
DVTs in admitted patients
Decrease in costs per admission
Improved patient satisfaction

SWOT • Weaknesses
Increased initail cost to meet demand for DVT
ANALYSIS prophylaxis
Failure of nurses and doctors to follow protocol
Possible misuse of universal order system, once
available, by nursing staf
 • Opportunities
Increased education of staf on DVT prophylaxis
Increased government reimbursement

SWOT Favorable outcomes and reduced

hospitalization times
ANALYSIS • Threats
Hospital budget limitation as there would be an
increased initial expenditure
Resistance to change from participating parties
 Building a relationship

ACTION PLAN Diagnosing the problem

HAVELOCK’S 
THEORY OF
CHANGE

Acquiring resources
 ACTION PLAN
HAVELOCK'S THEORY OF CHANGE

4. CHOOSING THE 5. GAINING 6. STABILIZATION

SOLUTION ACCEPTANCE AND SELF-
RENEWAL
 STEPS AND PROCESSES

Educate staf Pharmacological

prophylaxis
 Practical
STEPS AND Mechanical ways to
PROCESSES prophylaxis prevent
DVTs
 COMMUNICATION PLAN

Educate Educate
Staf visitors
 LEADERSHIP STYLES
TRANSFORMATIONAL LEADERSHIP

Not concerned with

Inspire and motivate Emphasize importance of status quo but with
followers interpersonal relationship efecting revolutionary
change in organizations

Focus on merging
Goal is to generate
motives, desires, values
employees’ commitment
and goals of leaders and
to the vision or ideal
followers into a common
rather than to themselves
cause
 MANAGEMENT
FUNCTIONS
• Make a check list
• Ensure staf feel comfortable educating the
visitors
• Ensure staf feels comfortable holding co
workers accountable
• Have charge RN do random audits
 BUDGET REQUIREMENTS/
IMPLICATIONS

Current budget should not need adjustments, unless an

increase in equipment is needed.

Stockings, Uniform Compression Devices (UCDs) stocked

adequately on the floor.

Pharmacy to stock the pyxis with adequate amounts of

pharmacological prophylaxis so we have it on hand.
 STEPS TO ASSURE STAFF
COMPLIANCE
Ensure proper protocols and procedures are being followed 

Continuing education, posters

Recognition for compliance

Recognition for decreased DVTs

Discuss regularly in huddle if DVT occurs

 EVALUATION

MONTHLY DVT STAFF ENGAGEMENT STAFF RECOGNITION/

OCCURRENCE REWARD PROGRAM
REPORTS
 DECISION MAKING PROCESS
Efective

Inefective

Future
 REFERENCES
• Cayley, W. E. (2007, July 21). Preventing deep vein thrombosis in
hospital inpatients. Retrieved August 18, 2019, from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1925160/
• Prevention of Deep Vein Thrombosis & Pulmonary Embolism. (n.d.).
Retrieved August 18, 2019, from
https://www.stoptheclot.org/learn_more/prevention_of_thrombosis/
• Sullivan, E.J. (2019). Effective leadership and management in nursing.
New York, NY:Pearson
• Tyson, B. (2018, November 18). Havelock's Theory of Change: 6 Easy
Steps to Change. Retrieved August 18, 2019, from
https://www.brighthubpm.com/change-management/86803- havelocks-th