Pelaksanaan Pembelajaran Jarak Jauh Di Masa Pandemi Covid-19

Penelitian ini dilatar belakangi oleh adanya kondisi pandemi Covid-19 yang berdampak pada ranah pendidikan. Untuk memenuhi hak peserta didik dalam mendapatkan layanan pendidikan, SD Negeri Karangasem baru pertama kali menerapkan pelaksanaan  pembelajaran  jarak jauh, perubahan pola pembelajaran secara tiba-tiba ini menimbulkan berbagai kendala yang harus dihadapi sehingga guru harus melakukan berbagai upaya agar pembelajaran dapat tetap berlangsung meskipun di masa pandemi Covid-19. Jenis penelitian ini adalah kualitatif dengan pendekatan studi kasus yang bertujuan untuk mendiskripsikan pelaksanaan pembelajaran jarak jauh serta mengetahui upaya yang dilakukan guru untuk mengatasi kendala dalam pelaksanaan pembelajaran jarak jauh selama pandemi Covid-19. Hasil penelitian menunjukkan bahwa pembelajaran jarak jauh pada masa pandemi Covid-19 di SD Negeri Karangasem Kabupaten Demak dilaksanakan dengan pola  daring, luring dan home visit. Adapun upaya yang dilakukan guru untuk mengatasi hambatan dalam melaksanakan pembelajaran jarak jauh pada masa pandemi Covid-19 yaitu kembali kepada kebijakan dan kemampuan guru itu sendiri. Hal itu karena sudah menjadi tanggung jawab guru untuk mengelola pembelajaran, termasuk mencari jalan keluar bagi setiap hambatan yang terjadi selama pembelajaran.

The Effect of a Preanaesthesia Clinic Consultation on Adult Patient Anxiety in Aga Khan University Hospital; a Cohort Study

Background: Preoperative anxiety is a common perioperative complication, according to studies done it is seen in approximately 11-80% of adults undergoing surgery. Various pharmacological and non pharmacological techniques have been used to reduce preop anxiety. One of the goals of the preanaesthesia clinic is to allay anxiety. Literature shows that a preanaesthesia clinic evaluation reduces anxiety however b current studies done on anxiety and the preanaesthesia clinic have not quantified this reduction. Objective: To determine the reduction in anxiety in patients evaluated in the clinic versus those evaluated in the ward. Study Design: A cohort and before – after study Setting: The surgical outpatient clinics, the gynaecological outpatient clinic, the antenatal clinic, the wards and operating theatres at the Aga Khan University Hospital, Nairobi. Population: All the adult patients scheduled for non-cardiac elective surgical procedures during the study period. Sample size: 44 adult patients with 22 patients in each of the 2 groups i.e. anaesthesia clinic (AC) group and the ward group (W). Methods: 51 adult patients with 28 patients in anaesthesia clinic group and another 23 in the ward were sequentially recruited from both the surgical outpatient clinic, gynaecology outpatient clinic and antenatal clinic. The patient’s State Trait Anxiety Index (STAI) was taken once the patient was booked for theatre. The patient then had a preanaesthesia evaluation either in the preanaesthesia outpatient clinic (PAC) or in the wards. Another STAI score was taken in the preoperative area in theatre on the day of surgery. The patients were then traced back as to whether they had their intervention in the ward or the clinic and hence divided into two groups. The difference in the change of STAI scores in both groups was then analysed. Results: 51 adult patients were recruited i.e. 28 in the clinic group and 23 in the ward group. The majority of the recruited patients were female (n=38). Statistically significant difference was seen in the reduction of the anxiety scores between the clinic group 2.143(C.I=1.384-2.902) and ward group 0.739(C.I=0.168-1.311) with a p value=0.0051.There was also significant difference in reduction in anxiety scores within ward group in the patients with no prior anaesthetic experience having a greater reduction than those a prior anaesthetic experience. There were no other significant differences between the 2 groups. Conclusion: Patients evaluated in the anaesthesia clinic had a greater reduction in their anxiety but it was not as much as hypothesised which may