Routine gastric residual volume (GRV) monitoring is regarded as a low-value nursing practice but remains widely applied in clinical settings.This review summarizes relevant domestic and international literature to clarify the concept of de-implementation of routine GRV monitoring, elaborate on four de-implementation strategies (replacement, removal, reduction, and restriction), and discuss their effectiveness.Current challenges and future research implications are also addressed.This work aims to provide a reference for promoting de-implementation of routine GRV monitoring in ICU patients receiving enteral nutrition, thereby improving clinical outcomes and reducing healthcare costs.