To strengthen the analytical process, a seventh step was added to the analysis process by overlaying the themes into a Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis framework, a commonly used evaluation and quality improvement framework in the health care sector (Harrison, 2010, p. 92). Themes inductively derived from analysis of interviews were matched to each of the SWOT categories (Harrison, 2010, p. 92).