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Data Collection The quantitative phase of the study will focus on identifying any factors contributing to and/or impeding the ambulance services delivery. I will be used the cross-sectional survey design, which implies the data will be collected at one point in time. The primary technique for collecting the quantitative data will be a self-developed questionnaire, containing items of different formats such as dichotomous answers like “Yes” and “No”, self-assessment items, multiple choices, asking either for one option or all that apply and open-ended questions. Some questions in the survey have an open-ended “Other (specify)” option to provide one correct answer for every subject in the study. The questionnaire consists of twenty-four questions, which are organised into six sections or scales. The first section of the survey asks questions related to the personal information and participants’ experiences. The latter are measured on a Likert type scale from “Strongly disagree” to “Strongly agree” and it will provide data regarding how the ambulance services related any factors impact major trauma protocol persistence. The second section will measure participants’ comfort level with the training programs and it will provide additional data about the impact of major trauma protocol related any factors. A point rating scale from “Very uncomfortable” to“ Very comfortable” will be used. The third section is focused on participants’ experiences with their academic and it will provide data regarding the role of major trauma protocol improved. A point rating scale from “Extremely negative” to “Extremely positive” will be used. The fourth section asks for self-evaluation of how motivated the ambulance services workers are to pursue improve their skills. The scale from 1 to 5, from “Strongly disagree” to “Strongly agree”, will be used. The survey questionnaire will be web-based and accessed through the URL, which will be sent to all participants and former ELHE-DE students identified by the ambulance service unit manger. One of the advantages of online surveys is that participants’ responses will automatically be stored in a database and can be easily transformed into numeric data in SPSS formats or Excel. The e-mail addresses are available for all the potential participants in the study. An opening page of the survey will be as an informed consent form on the web. Participants will click on the button below, by saying “I agree to complete this online survey”, therefore expressing their compliance to participate in the study and complete this survey. A week before the survey is available online; participants will be receiving a notification via e-mail from the ambulance service unit manager about the importance of their input for the study. It will help escape a low response rate, which is typical for online surveys. For decrease the response rate error and solicit a relatively high response rate of the survey, a three-phase follow-up sequence will be used. For who will have not responded by the set date; five days after distributing the online survey URL, an email reminder will be sent out; ten days later, the second email reminder will be sent; two weeks later, the third email reminder will be sent stating the importance of the participant’s input for the study. Data Analysis Before the statistical analysis of the quantitative survey results, the screening data will be conducted on the univariate and multivariate levels. The data screening will be to help identify potential multicollinearity in this data. The multivariate tests are sensitive to extremely high correlations among predictor variables. The data screening will be include the descriptive statistics for all the variables, information about the missing data, linearity, and normality, homoscedasticity, multicollinearity, multivariate outliers, and singularity. The descriptive statistics for the online survey items will be summarised in the text and reported in tabular form. The frequencies analysis will be conducted to identify valid percent for responses to all the questions in the online survey. The analysis of results will be reported in the form of the discussion. The eigenvalues will be providing the information of how much percent of variance is accounted for by the discriminant function. The Wilks’ Lambda test will yield the Chi-Square value to show the statistical significance for the discriminant function. The standardised coefficients of the discriminant function will indicate how much relative unique contribution to the ambulance service units’ differences is provided by the predictor variables. The statistical analysis of the quantitative results will be conducted with the help of Statistical Package for Social Sciences software (SPSS), version 11.0. Reliability and Validity: In quantitative research, reliability and validity of the instrument are very important for decreasing errors that might arise from measurement issues in the research study. The stability or test-retest reliability of the online survey instrument will be obtained through the pilot testing of the instrument. The reliability refers to the accuracy and precision of a measurement procedure. Test-retest reliability will show if the same results are obtained with the repeated administration of the same survey to the similar study participants. Phase II Qualitative Data Collection The primary technique will be conducting in-depth semi-structured interviews with five hospital's participants and the managers of ambulance services units. The participants will be asked for consent to do interviews, while the information regarding the major trauma protocol and service delivered. The Interview Protocol will include 15 open-ended questions. The questions will focus on the major trauma protocol, training program and the details of services delivered. The participants will receive the interview questions prior to the scheduled and I will be informed the interview will be tape-recorded. Data Analysis: In qualitative analysis, data collection and analysis proceed simultaneously. ...
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Final Answer

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Data Collection
In the study, the quantitative phase majors on the identification of factors that impede and/or
contribute to the delivery of ambulance services. Collection of data may be carried out at one point in
time as it will be applied in the cross-sectional survey design. Self-developed questionnaires will be used
as the primary technique for collection of quantitative data. The questionnaire will be comprised of
open-ended questions, multiple-choice questions, self-assessment items and Yes-No questions. The
questionnaire will have 24 questions grouped into six scales or sections.
In the first segment of the survey, the questions asked are in relation to the personal information and
experience of the participants. The other segments measure data on a Likert scale from “Strongly agree”
to “Strongly disagree”. These segments provides data in relation to the relationship between ambulance
services and factors impacting persistence of major trauma protocol. The second segment measures the
level of comfort of the participants using the training programs. In addition to this, it provides addition...

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