APA 7th edition is the formatting standard for nearly every nursing program, yet most general guides skip the sources nursing papers use most.
Clinical practice guidelines, CDC and WHO reports, organizational authors and evidence tables all need specific handling. This guide covers APA 7th as it applies to nursing writing: the student title page, page setup, headings, in-text citations, reference examples, tables and figures, and the errors faculty catch most often.
The APA 7 Student Format in Brief
Nursing students use the APA 7th student paper format: a title page with title, name, affiliation, course, instructor and due date, no running head, double spacing, 1-inch margins and a page number top right. Headings follow five levels, starting with centered bold.
Cite three or more authors as "et al." from the first citation, introduce organizational abbreviations once, use DOIs as links and place table and figure numbers and titles above the table or figure. Where your program template differs, follow the template.
The Student Title Page
APA 7th separates professional papers, written for publication, from student papers. Almost every nursing assignment uses the student format, which includes:
- The paper title in bold, centered, in the upper half of the page.
- Your name, then your affiliation (department and university).
- The course number and name.
- Your instructor's name.
- The assignment due date.
- A page number in the top right corner, as on every page.
Student papers do not need a running head. APA 6 required one, and some nursing programs still ask for it in their own template, so check before you delete it.
This is one of the most common places where general APA guidance and a program rubric disagree. When they do, the program template wins.
Page Setup and General Format
These settings apply throughout the paper. Set them once in your document before you start writing.
| Element | APA 7th setting |
|---|---|
| Font | A readable font used consistently, such as 12-point Times New Roman, 11-point Calibri or 11-point Arial |
| Spacing | Double spacing throughout, including references and block quotes |
| Margins | 1 inch on all sides |
| Alignment | Left-aligned with a ragged right edge, not justified |
| Paragraph indent | 0.5 inch for the first line of each paragraph |
| First text page | The paper title repeated in bold and centered; no "Introduction" heading |
| Reference list | New page, "References" in bold and centered, 0.5 inch hanging indent |
The first-page title catches many students out. APA 7th assumes the opening paragraphs are the introduction, so you do not label them.
APA 7 Heading Levels for a Nursing Paper
APA 7th has five heading levels. Most BSN papers use two or three; longer MSN and DNP papers may use four.
| Level | Format | Typical use in nursing papers |
|---|---|---|
| 1 | Centered, bold, title case | Major sections: Literature Review, Methods, Results, Discussion |
| 2 | Flush left, bold, title case | Sub-sections, such as Search Strategy under Methods |
| 3 | Flush left, bold italic, title case | Further divisions, such as each theme in a literature review |
| 4 | Indented, bold, title case, ending with a full stop, text on the same line | Occasionally in long DNP chapters |
| 5 | Indented, bold italic, title case, ending with a full stop, text on the same line | Rarely needed outside dissertation-length work |
Use levels in order. A Level 3 heading should sit under a Level 2, never directly under a Level 1.
In-Text Citations Nursing Papers Use Most
APA 7th uses author-date citations. Nursing papers return to a narrow set of patterns, and most errors come from multiple authors, organizations and repeated citations.
Number of Authors
For one or two authors, cite both names every time: (Smith, 2023) or (Smith & Lee, 2023). In running text, use "and" instead of the ampersand: Smith and Lee (2023).
For three or more authors, use the first author and "et al." from the very first citation: (Garcia et al., 2022). Listing all names on first mention is a leftover APA 6 habit.
Organizations as Authors
Nursing papers cite organizations constantly, such as the CDC, WHO, AHRQ or the ANA. Spell out the name with its abbreviation the first time, (Centers for Disease Control and Prevention [CDC], 2023), then use the abbreviation: (CDC, 2023).
Several Sources for One Claim
List them in alphabetical order inside one set of parentheses, separated by semicolons: (Garcia et al., 2022; Patel, 2021; Smith & Lee, 2023).
Quotes and Paraphrase
Paraphrase needs the author and year. A direct quote also needs a page or paragraph number: (Smith, 2023, p. 45) or (Smith, 2023, para. 6). Quotes of 40 words or more go in an indented block without quotation marks.
Nursing faculty generally prefer paraphrase. Heavy quoting from clinical sources often reads as a lack of analysis.
Secondary Sources and Personal Communications
If you read a study only as described in another source, cite it as (Brown, 2015, as cited in Jones, 2022) and list only Jones in your references. Try to find the original when you can.
Conversations with a nurse manager or preceptor are personal communications. Cite them in text only, such as (R. Alvarez, personal communication, March 3, 2024), and leave them out of the reference list.
Reference Examples for Common Nursing Sources
The examples below are illustrative, with invented titles and placeholder links. Use them as patterns for your own sources.
| Source type | Reference format |
|---|---|
| Journal article with DOI | Patel, R., & Nguyen, T. (2022). Reducing catheter-associated urinary tract infections through nurse-led protocols. Journal of Clinical Nursing, 31(4), 512–520. https://doi.org/10.xxxx/xxxxx |
| Clinical practice guideline | Agency for Healthcare Research and Quality. (2023). Preventing falls in hospitals: A toolkit for improving quality of care. https://www.ahrq.gov/xxxxx |
| Report by an organization | World Health Organization. (2023). Hand hygiene in health care: A summary. https://www.who.int/xxxxx |
| Web page by an organization | Centers for Disease Control and Prevention. (2023, March 15). Healthcare-associated infections: Data and statistics. https://www.cdc.gov/xxxxx |
| Chapter in an edited book | Allen, M. (2021). Pathophysiology of pressure injuries. In J. Carter (Ed.), Wound care essentials (3rd ed., pp. 88–104). Health Press. |
When the author and publisher are the same organization, omit the publisher. Include a DOI whenever an article has one, written as a full https link, and do not add "Retrieved from" or the database name for most journal articles.
Worked Example: One Paragraph, Correctly Cited
Here is a short literature review paragraph showing several patterns at once. The sources are illustrative.
Falls remain a leading cause of preventable harm in hospitals (Agency for Healthcare Research and Quality [AHRQ], 2023). Individualized risk assessment reduced falls more than universal precautions in two recent reviews (Garcia et al., 2022; Patel & Nguyen, 2021), and AHRQ (2023) recommends linking each risk factor to a specific intervention. Smith and Lee (2023) found that bedside handoffs that included fall risk improved staff awareness, although their sample came from a single unit.
Notice the abbreviation introduced once, "et al." on first use, alphabetical order inside the parentheses, "and" in running text and a short critical comment on the evidence.
Tables and Figures
Nursing papers often include evidence tables, literature matrices and data summaries. APA 7th formats tables and figures the same way at the top.
- Number: in bold above the table or figure, such as Table 1.
- Title: on the next line, in italic title case.
- Note: below the table or figure, for abbreviations, explanations or the source of adapted material.
- Numbering: in the order they are first mentioned in the text.
Avoid pasting a table straight from a guideline or article. Rebuild it in your paper's font and style and add a note crediting the source, such as "Adapted from" followed by the citation.
Numbers, Abbreviations and Bias-Free Language
A few writing rules affect clinical papers more than most.
- Numbers: words for zero to nine and numerals for 10 and above, but always numerals for measurements, ages, percentages, doses and statistics.
- Abbreviations: define each one on first use, such as evidence-based practice (EBP), then use it consistently.
- People first: write "people with diabetes" rather than "diabetics" unless a community prefers identity-first language.
- Specific descriptions: give age ranges and settings rather than labels such as "the elderly".
Common APA Mistakes in Nursing Papers
| Mistake | Fix |
|---|---|
| Running head kept on a student paper (or dropped when the template requires one) | Check your template and follow it |
| All authors listed for a three-author source | Use "et al." from the first citation |
| Full organization name every time | Introduce the abbreviation once, then use it |
| No hanging indent in references | Set a 0.5 inch hanging indent for the whole list |
| Table or figure title placed below it | Put number and title above; notes go below |
| Citations missing from the reference list, or the reverse | Cross-check every citation against the list before submitting |
| Database URL instead of a DOI | Use the DOI when the article has one |
| "Introduction" heading on page one | Repeat the paper title instead |
For literature reviews, these errors multiply quickly. The nursing literature review guide covers organizing and citing sources by theme.
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Frequently Asked Questions
Yes. APA 7th, published in 2019, is the edition most nursing programs require. Confirm with your program if its template has not been updated recently.
Not under APA 7th. Some nursing programs still require one in their template, so follow your program's instructions.
Treat the issuing organization as the author, with the year, the guideline title in italics and the link, as in the AHRQ example above.
For three or more authors, from the very first citation. For two authors, name both every time.
Above the table or figure, with the number in bold and the title in italics on the next line. Notes go below.
Include one whenever the article has a DOI. If it has none and comes from an academic database, you usually end the reference after the page range.
No. Repeat the paper title in bold and centered at the top of the first page of text.
As a personal communication in the text only, with initials, surname and exact date. It does not go in the reference list.