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NursingResearch paperOrganizational assessment

Appreciative Inquiry and SWOT Analysis Paper

Appreciative inquiry looks for what works; SWOT looks for weaknesses and threats. Running both on one setting is the interesting part, and most papers do not notice.

Editorial process

Last reviewed · August 16, 2026

01

Two methods that disagree about where to look

The assessment asks for two analyses of the same care setting and they proceed from opposite premises, which is worth noticing rather than working around. Appreciative inquiry is deliberately asset-based: the discovery phase asks what happens when this unit is at its best and collects stories rather than complaints, and the dream phase builds an aspirational picture from what those stories reveal is already possible. SWOT is a conventional strategic tool and half of it — weaknesses and threats — is explicitly deficit-focused. A paper that runs them as two unrelated exercises has done the work and missed the insight. The interesting move is to say what each surfaces that the other cannot: appreciative inquiry finds latent capacity that no gap analysis would record, and SWOT finds risks that a strengths-focused conversation will not raise because nobody tells a story about a threat. Name that asymmetry in your introduction.

Do the discovery phase properly, since it has a method. It means asking specific people about specific occasions when something went unusually well, and the material is anecdotal by design because the details of a good day are where the transferable practice hides. Say who you would ask and what you would ask them. The dream phase should be provocative but grounded in what discovery actually found, not in what you would like to be true. Then run the SWOT with discipline: strengths and weaknesses are internal and largely within your control, opportunities and threats are external and are not, and the most common failure is listing an internal problem as a threat, which quietly moves responsibility outside the organisation. Finish by saying what the two analyses agreed on, because a strength that also appears as an appreciative inquiry theme is the most reliable thing in the paper and the obvious foundation for the strategic plan the next assessment will ask for.

Likely learning objectives

Inferred from the brief — check these against your own rubric.

  • 01
    Distinguish asset-based inquiry from deficit-based analysis.
  • 02
    Conduct a discovery phase through specific accounts rather than general impressions.
  • 03
    Apply the internal-external discipline of a SWOT correctly.
  • 04
    Identify where the two methods converge and why that matters.
Assignment instructionsQuoted verbatim

Read the full question

Review every instruction before using the planning guidance that follows.

Write a 4–7-page analysis of your care setting that supports development of a strategic plan and includes both the discovery and dream phases of an appreciative inquiry (AI) project and a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the care setting. Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented. SHOW LESS Identifying analysis techniques for assessing competitive advantage is important for building health care strategy. Sustaining health care competitive advantage requires that leaders understand environmental demands to assist with minimizing weakness and threats from the external environment. This assessment provides you with an opportunity to examine your health care environment to determine whether what is being accomplished in your organization, department, team, community project, or other care setting is making a positive difference. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Evaluate qualities and skills that promote effective leadership within health care organizations. Analyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an appreciative inquiry (AI) and a strengths, weaknesses, opportunities, and threats (SWOT) approach. Competency 2: Apply strategies to lead high-performing health care teams to meet organizational quality and safety goals. Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals. Conduct a SWOT analysis of a care setting, with respect to quality and safety goals. Discovery and dream phases of an appreciative inquiry Describe an area of concern identified in a SWOT analysis—relevant to a care setting’s mission, vision, and values—that should be improved. Compare the AI and SWOT approaches to analysis with regard to data gathering and interactions with others. Competency 3: Apply cultural, ethical, and regulatory considerations to leadership decision making. Propose positive, attainable quality and safety improvement goals for a care setting. Competency 5: Communicate with stakeholders and constituencies to build collaborative partnerships and create inclusive work environments. Communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues. Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Suggested Resources The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6210: Leadership and Management for Nurse Executives Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you. Appreciative Inquiry and SWOT MacCoy, D. J. (2014). Appreciative inquiry and evaluation – Getting to what works. The Canadian Journal of Program Evaluation, 29(2), 104–127. Nursing Leadership: Present and Future Needs | Transcript. Appreciative Inquiry: Core Concepts | Transcript. Review the section on the dream stage of appreciative inquiry. Vila Health: Comparing AI and SWOT | Transcript. This media simulation walks you through a scenario within the Vila Health system that will enable you to analyze a situation in a care setting through both AI and SWOT lenses. Vila Health: Appreciative Inquiry or SWOT? | Transcript. This media piece presents various brief scenarios in which either appreciative inquiry or SWOT is the more appropriate approach. TOWS Analysis in Action: Going Beyond the SWOT Analysis | Transcript. This media piece will help you to gain a better understanding of the considerations, categorizations, and applications of SWOT analyses. SHOW LESS Strategic Planning Deisher, M. (2013). A systems change: Leading the way to meeting health needs. Journal of Hand Therapy, 26(3), 282–285, 286. This article illustrates how strategic planning has been used to implement a new program in a clinic. Leadership Characteristics and Skills Any of the following resources are useful in analyzing leadership characteristics and skills: Grossman, S. C., & Valiga, T. M. (2012). The new leadership challenge: Creating the future of nursing. Philadelphia, PA: F. A. Davis Company. Chapter 2, “The World and New Leadership: Changing our Thinking About Leadership.” This chapter may help you with an analysis of the leadership characteristics and skills most desired in a person leading potential performance improvement projects. American College of Healthcare Executives. (2016). ACHE healthcare executive 2016 competencies assessment tool [PDF]. Retrieved from http://www.ache.org/pdf/nonsecure/careers/competencies_booklet.pdf Competency areas A–C (including all sub-points as laid out in the ACHE self-assessment) in the Communication and Relationship Management theme. Competency areas A–D (all sub-points as laid out in the ACHE self-assessment) in the Leadership theme. American Organization of Nurse Executives. (2015). Nurse executive competencies [PDF]. Retrieved from http://www.aone.org/resources/nec.pdf Competency areas A–G in section 1, the Communication and Relationship Building theme. Competency areas A–E in section 3, the Leadership theme. Assessment Instructions Note: You will use the results of this analysis to develop a strategic plan in Assessment 2. Preparation You have been asked to conduct an analysis of your care setting that will result in two potential pathways toward a strategic plan to improve health care quality and safety in your organization, department, team, community project, or other care setting. To accomplish this, you will take two approaches to the analysis: Complete the discovery and dream phases of an appreciative inquiry (AI) project. Conduct a strengths, weaknesses, opportunities and threats (SWOT) analysis. To help ensure that your analysis is well-received, the requester has suggested that you: Discovery and dream phases of an appreciative inquiry Present your analysis results in four parts: Part 1: Appreciative Inquiry Discovery and Dream. Part 2: SWOT Analysis. Part 3: Comparison of Approaches. Part 4: Analysis of Relevant Leadership Characteristics and Skills. Your analysis should be 4–7 pages in length. Note: Remember, you can submit all, or a portion, of your draft plan to Smarthinking for feedback before you submit the final version for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service. Analysis Requirements Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so at a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.
02

Turn the brief into deliverables

  1. 01
    A discovery phase with stated informants and questions.
  2. 02
    A dream phase grounded in what discovery found.
  3. 03
    A SWOT with internal and external correctly assigned.
  4. 04
    An account of what each method surfaces that the other misses.
  5. 05
    Convergent findings identified.
  6. 06
    4-7 pages meeting the scoring guide criteria.
03

Discovery, dream, then SWOT — and the tension between them

01

The setting and why two methods

Describe the care setting and explain the two analytic approaches.

02

Discovery

Set out who you would ask, what you would ask, and what emerged.

03

Dream

Build the aspirational picture from discovery's findings.

04

SWOT: internal

Identify strengths and weaknesses within the setting's control.

05

SWOT: external

Identify opportunities and threats outside it.

06

Where the two converge

Name findings both methods produced and what follows.

04

Sources for appreciative inquiry and for structured analysis

Recommended databases

  • NCBI Bookshelf
  • PubMed Central
  • Appreciative inquiry primary sources
  • Capella library resources

Search sequence

  1. 1.
    Read the appreciative inquiry phases from a primary source, not a summary.
  2. 2.
    Take the SWOT conventions from a reference so internal and external are right.
  3. 3.
    Search for evidence on appreciative inquiry in healthcare settings.
  4. 4.
    Read the scoring guide before drafting; it lists the criteria explicitly.
05

Reference shortlist

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

Nothing here is cleared for citation until you have read it.

  1. 01

    SWOT Analysis

    StatPearls, NCBI Bookshelf · 2023

    SWOT analysis with the internal and external distinction set out properly.

  2. 02

    SWOT - Definition, Examples, Process, Uses

    Corporate Finance Institute · 2024

    A worked SWOT process, useful for the mechanics.

  3. 03

    Strategic Planning, Implementation, and Evaluation Processes in Hospital Systems: A Survey From Iran

    PMC / National Library of Medicine · 2016

    Strategic planning and evaluation in hospital systems — what these analyses feed.

  4. 04

    17.1 Is Planning Important - Principles of Management | OpenStax

    OpenStax, Rice University · 2019

    Why planning precedes strategy, and what analysis is for.

  5. 05

    Mapping Strategies for Strengthening Safety Culture: A Scoping Review

    Healthcare (Basel) · 2024

    Culture-strengthening strategies, which is what asset-based inquiry is aiming at.

06

Review before submission

Common mistakes

  • Running the two analyses as unconnected exercises.
  • Treating discovery as a general survey of what people like.
  • Listing internal problems as threats, which moves the responsibility outside.
  • Writing a dream phase that ignores what discovery actually surfaced.

Submission checklist

  • Does the discovery phase name informants and questions?
  • Is the dream traceable to discovery findings?
  • Are internal and external correctly separated in the SWOT?
  • Have you said where the two analyses agree?

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