PDF(Pubmed)
Abstract：
UNASSIGNED: X-ray and pH testing, which clinical practice guidelines have proven to be effective in determining nasogastric tube (NGT) placement, were named the high-value methods. Implementation strategies can help to integrate high-value methods into particular contexts. The aim of this systematic review was to summarize the evidence of implementation strategies aimed at improving high-value verification methods of NGT placement.
UNASSIGNED: PubMed, ProQuest, and CINAHL were searched until June 2022. The Cochrane Effective Practice and Organization of Care (EPOC) taxonomy was used to categorize implementation strategies.
UNASSIGNED: The initial search identified 1,623 records. Of these, 64 full-text studies were reviewed. Finally, 12 studies were included and used for qualitative synthesis. Eleven studies used an education component as an implementation strategy. Only one study based their implementation strategy on a barriers and facilitators assessment. None of the studies reported enough detail of the implementation strategy used in their studies. Seven studies were eligible for inclusion in the meta-analysis. Three of these seven studies revealed a significant improvement of the high-value method after strategy implementation. As heterogeneity was present in the high level, the pooled effect estimated was not calculated.
UNASSIGNED: Most studies used an implementation strategy with an educational component. Unfortunately, no conclusion can be drawn about which strategy is most effective for improving high-value verification methods of NGT placement due to a high level of heterogeneity and a lack of studies. We recommend that future studies fully connect their implementation strategies to influencing factors and better report the details of implementation strategies.
UNASSIGNED: [www.crd.york.ac.uk/PROSPERO/], identifier [CRD42022349997].
UNASSIGNED: PubMed, ProQuest, and CINAHL were searched until June 2022. The Cochrane Effective Practice and Organization of Care (EPOC) taxonomy was used to categorize implementation strategies.
UNASSIGNED: The initial search identified 1,623 records. Of these, 64 full-text studies were reviewed. Finally, 12 studies were included and used for qualitative synthesis. Eleven studies used an education component as an implementation strategy. Only one study based their implementation strategy on a barriers and facilitators assessment. None of the studies reported enough detail of the implementation strategy used in their studies. Seven studies were eligible for inclusion in the meta-analysis. Three of these seven studies revealed a significant improvement of the high-value method after strategy implementation. As heterogeneity was present in the high level, the pooled effect estimated was not calculated.
UNASSIGNED: Most studies used an implementation strategy with an educational component. Unfortunately, no conclusion can be drawn about which strategy is most effective for improving high-value verification methods of NGT placement due to a high level of heterogeneity and a lack of studies. We recommend that future studies fully connect their implementation strategies to influencing factors and better report the details of implementation strategies.
UNASSIGNED: [www.crd.york.ac.uk/PROSPERO/], identifier [CRD42022349997].
摘要：
未经证实：X射线和pH检测，哪些临床实践指南已被证明在确定鼻胃管（NGT）放置方面是有效的，被命名为高价值方法。实施策略可以帮助将高价值方法集成到特定环境中。本系统综述的目的是总结旨在改进NGT放置的高价值验证方法的实施策略的证据。
未经授权：PubMed，ProQuest,一直搜索到2022年6月。Cochrane有效实践和护理组织（EPOC）分类法用于对实施策略进行分类。
UNASSIGNED：初始搜索确定了1,623条记录。其中,回顾了64项全文研究。最后,包括12项研究并用于定性合成。11项研究使用了教育组成部分作为实施策略。只有一项研究将其实施策略基于障碍和促进者的评估。没有一项研究报告了他们研究中使用的实施策略的足够细节。七项研究有资格纳入荟萃分析。这七项研究中的三项揭示了战略实施后高价值方法的显着改进。由于异质性存在于高层，未计算估计的合并效应.
UNASSIGNED：大多数研究都使用了带有教育成分的实施策略。不幸的是,由于高度异质性和缺乏研究,因此无法得出关于哪种策略对改进NGT放置的高价值验证方法最有效的结论.我们建议未来的研究将其实施策略与影响因素充分联系起来，并更好地报告实施策略的细节。
未经批准：[www.crd.约克。AC.uk/PROSPERO/],标识符[CRD42022349997]。
未经授权：PubMed，ProQuest,一直搜索到2022年6月。Cochrane有效实践和护理组织（EPOC）分类法用于对实施策略进行分类。
UNASSIGNED：初始搜索确定了1,623条记录。其中,回顾了64项全文研究。最后,包括12项研究并用于定性合成。11项研究使用了教育组成部分作为实施策略。只有一项研究将其实施策略基于障碍和促进者的评估。没有一项研究报告了他们研究中使用的实施策略的足够细节。七项研究有资格纳入荟萃分析。这七项研究中的三项揭示了战略实施后高价值方法的显着改进。由于异质性存在于高层，未计算估计的合并效应.
UNASSIGNED：大多数研究都使用了带有教育成分的实施策略。不幸的是,由于高度异质性和缺乏研究,因此无法得出关于哪种策略对改进NGT放置的高价值验证方法最有效的结论.我们建议未来的研究将其实施策略与影响因素充分联系起来，并更好地报告实施策略的细节。
未经批准：[www.crd.约克。AC.uk/PROSPERO/],标识符[CRD42022349997]。
