Table 5 Experts’ evaluation of SWOT analyses at the beginning of the training program and 12 months after

External environment:

Analysis of macro-environment

0.84

0.83

3.19 ± 0.67

3.68 ± 0.65

0.49 ± 0.19^††

Evidence-based analysis of environment

0.75

0.73

2.87 ± 0.51

3.29 ± 0.53

0.43 ± 0.18^††

Analysis of stakeholders

0.80

0.64

2.98 ± 0.66

3.46 ± 0.65

0.48 ± 0.22^††

Analysis of competitors

0.83

0.76

2.89 ± 0.57

3.33 ± 0.53

0.44 ± 0.24^††

External analysis relates to mission & vision

0.67

0.61

3.07 ± 0.69

3.44 ± 0.71

0.37 ± 0.17^††

Internal environment:

Internal analysis

0.71

0.73

3.23 ± 0.56

3.64 ± 0.63

0.41 ± 0.21^††

Analysis of customers

0.67

0.78

2.87 ± 0.64

3.26 ± 0.61

0.38 ± 0.33^††

Analysis of general resources

0.50

0.96

3.31 ± 0.53

3.71 ± 0.46

0.40 ± 0.25^††

Analysis of services

0.78

0.71

3.19 ± 0.44

3.54 ± 0.43

0.35 ± 0.22^††

Analysis of financial resources

0.92

1.00

3.28 ± 0.62

3.75 ± 0.63

0.47 ± 0.25^††

Hospital performance

1.00

0.95

3.54 ± 0.53

3.97 ± 0.48

0.42 ± 0.25^††

Technical skills in application of SWOT analysis

0.88**

0.89**

3.22 ± 0.47

3.65 ± 0.45

0.44 ± 0.14^††

Number of items in the external and internal environment

0.93

0.92

3.46 ± 0.45

3.86 ± 0.46

0.39 ± 0.19^††

Items are arranged from most to least important

0.93

0.96

3.16 ± 0.59

3.62 ± 0.56

0.46 ± 0.22^††

Items are arranged according to external and internal environment

0.96

0.95

3.02 ± 0.53

3.48 ± 0.47

0.46 ± 0.23^††

Identification of strategies

0.97

0.95

3.54 ± 0.46

3.98 ± 0.40

0.45 ± 0.24^††