This report critically examines evidence-based practices for nasogastric tube placement, a crucial procedure in healthcare. It explores the importance of X-ray verification in confirming correct tube insertion, referencing key studies and methodologies like the PICO process and systematic reviews. The report analyzes the challenges and barriers associated with implementing evidence-based practices, such as the limitations of available research and the need for standardized protocols. It also discusses the nursing skills required and proposes recommendations for improving the process, ultimately aiming to enhance patient safety and outcomes. The report includes an analysis of research databases like CINAHL, PubMed, and others, and highlights the significance of systematic reviews in synthesizing evidence. It further delves into specific studies, evaluating the efficacy of X-ray and other methods in determining the correct placement of nasogastric tubes, and suggests areas for future research to refine diagnostic tools and improve patient care. The report emphasizes the importance of evidence-based practice in healthcare and provides insights into the complexities of implementing these practices in clinical settings.