Model Design the PRAYOGI Supervision Model for Daily Medical Device Monitoring: A Participatory Action Research Study

Abstract

Daily medical device checks are essential to patient safety, yet monitoring through the hospital's SIMANIS system declined from 72.98% in 2023 to 54.64% in 2024 and 37.92% by June 2025. This study developed and applied the PRAYOGI supervision model to strengthen nursing-service quality through structured device monitoring. A qualitative participatory action research design was implemented in two cycles at RSJD Dr. Amino Gondohutomo, Central Java, during January 2026. Fifteen purposively selected participants (13 nurses and two electromedical technicians) joined two focus-group rounds; three hospital managers completed in-depth interviews. Participant observation, field notes, audio recordings, member checking, and triangulation supported data collection. Data were analysed thematically using Colaizzi's steps and interpreted through the Neuman Systems Model and Total Quality Management. Three themes emerged: supervision as a mechanism for adaptation and teamwork; device monitoring as quality assurance through stressor prevention and continuous improvement; and sustainable nursing-service quality through feedback and theoretical integration. Across the two cycles, the checklist was simplified, supervision was embedded in shift handover, coordination with electromedical technicians became more direct, and SIMANIS completion approached 100%. PRAYOGI offers a feasible, theory-informed structure for daily device supervision, but its sustainability depends on formal procedures, recurring training, management feedback, and integration with hospital information systems.