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How-To Guide

APA 7 for Nursing Papers

Title page, headings, in-text citations, reference examples for guidelines and government data, and tables, all as they apply to nursing assignments.

Updated October 2026 · 8 min read

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:

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.

ElementAPA 7th setting
FontA readable font used consistently, such as 12-point Times New Roman, 11-point Calibri or 11-point Arial
SpacingDouble spacing throughout, including references and block quotes
Margins1 inch on all sides
AlignmentLeft-aligned with a ragged right edge, not justified
Paragraph indent0.5 inch for the first line of each paragraph
First text pageThe paper title repeated in bold and centered; no "Introduction" heading
Reference listNew 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.

LevelFormatTypical use in nursing papers
1Centered, bold, title caseMajor sections: Literature Review, Methods, Results, Discussion
2Flush left, bold, title caseSub-sections, such as Search Strategy under Methods
3Flush left, bold italic, title caseFurther divisions, such as each theme in a literature review
4Indented, bold, title case, ending with a full stop, text on the same lineOccasionally in long DNP chapters
5Indented, bold italic, title case, ending with a full stop, text on the same lineRarely 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 typeReference format
Journal article with DOIPatel, 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 guidelineAgency 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 organizationWorld Health Organization. (2023). Hand hygiene in health care: A summary. https://www.who.int/xxxxx
Web page by an organizationCenters for Disease Control and Prevention. (2023, March 15). Healthcare-associated infections: Data and statistics. https://www.cdc.gov/xxxxx
Chapter in an edited bookAllen, 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.

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.

Common APA Mistakes in Nursing Papers

MistakeFix
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 sourceUse "et al." from the first citation
Full organization name every timeIntroduce the abbreviation once, then use it
No hanging indent in referencesSet a 0.5 inch hanging indent for the whole list
Table or figure title placed below itPut number and title above; notes go below
Citations missing from the reference list, or the reverseCross-check every citation against the list before submitting
Database URL instead of a DOIUse the DOI when the article has one
"Introduction" heading on page oneRepeat 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

Is APA 7th still the standard for nursing programs?

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.

Do student papers need a running head?

Not under APA 7th. Some nursing programs still require one in their template, so follow your program's instructions.

How do I cite a clinical practice guideline?

Treat the issuing organization as the author, with the year, the guideline title in italics and the link, as in the AHRQ example above.

When do I use et al.?

For three or more authors, from the very first citation. For two authors, name both every time.

Where do table and figure titles go?

Above the table or figure, with the number in bold and the title in italics on the next line. Notes go below.

Do I need a DOI for every journal article?

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.

Should my first page have an Introduction heading?

No. Repeat the paper title in bold and centered at the top of the first page of text.

How do I cite a conversation with my preceptor?

As a personal communication in the text only, with initials, surname and exact date. It does not go in the reference list.