Based on several literature and explanation given by authors and institutions, Evidence-based can be described most accurately as the incorporation of patient values, the best available research evidence, and clinician expertise in view to make clinical decisions in healthcare or nursing. EBP can be most effective conducted in a five-step process including developing a clinical question; conducting a search of the existing literature; critically appraisal of the literature; associating research with the developed clinical question; and evaluation of the effectiveness of the outcomes. There are possibilities that some research evidences may be different and can make a shift in nursing care from traditional practice, however evidence-based practice always is always supported by the importance of the clinician’s individual knowledge and experience.
Roberts and Yeager (2004) exemplified practice-based research as an important facilitator for the development of evidence-based practice. Simply it considered as a foundation for evidence-based care in nursing. Clinical issue of interest and its formulation into a searchable question to find out the appropriate evidences answering the developed question and thus evaluating the effectiveness of evidence are the process of evidence based practice. Many organisations and medical institutions have focused on a greater emphasis on the fundamental importance of evidence-based as a source for improving the level of health care facilities that are offered to patients. Evidence-based practice has been considered as a change in practice process in order to improve patient care. Several models, tools, and experiential support assist clinicians to implement the EBP process easily in their environment. However, for health care to be transformed from the traditional approach to evidence based practices, all clinicians must consider a common goal of enhancing EBP in their patient care practice, academics, decision making process, policymaking process, or science-generating worlds bringing the best practice in the 21st century.