Almost every nursing program uses APA style, and almost every nursing student loses marks to it at some point.
The rules themselves are not difficult, but nursing papers raise questions general APA guides rarely answer: how to cite a clinical practice guideline with no named author, how to reference the CDC or WHO, whether a DNP project needs a running head, how to organize headings across a five-chapter capstone, and how to present clinical data in a table.
This guide covers the APA 7th edition rules nursing students need most, with nursing examples throughout. It focuses on format and citation. For writing style itself (hedging claims, synthesizing evidence, paraphrasing), see our nursing academic writing tips.
Quick Answer
In APA 7, nursing course papers use the student format: a title page with title, your name, institution, course, instructor and due date, page numbers top right and no running head. Use double spacing, 1-inch margins, an accepted font (such as 12-point Times New Roman or 11-point Calibri) and the five heading levels. Cite organizations such as the Centers for Disease Control and Prevention as group authors, abbreviating after first use, use "et al." from the first citation for three or more authors, and include DOIs as https links in references.
Page Setup at a Glance
| Element | APA 7 rule |
|---|---|
| Font | Consistent, legible font: for example 11-point Calibri or Arial, 12-point Times New Roman, 11-point Georgia |
| Spacing | Double-spaced throughout, including the reference list |
| Margins | 1 inch (2.54 cm) on all sides |
| Paragraphs | First line indented 0.5 inch; left-aligned with a ragged right edge |
| Page numbers | Top right on every page, starting with the title page |
| Running head | Not required for student papers; required for professional papers |
| Order | Title page, abstract (if required), body, references, tables and figures (if placed at the end), appendices |
Student and Professional Title Pages
APA 7 introduced separate title pages for student and professional papers, and this is where returning nurses who learned APA 6 most often go wrong. A student paper no longer needs a running head or the words "Running head".
The title goes in bold, centered, three or four lines down from the top, followed by a blank line and then your name, institution and department, course number and name, instructor's name and due date, each centered on its own line.
| Element | Student paper | Professional paper |
|---|---|---|
| Title (bold, centered) | Yes | Yes |
| Author name and affiliation | Yes | Yes |
| Course, instructor, due date | Yes | No |
| Author note | No | Yes |
| Running head | No | Yes: shortened title in capitals, flush left, on every page |
| Page number | Top right | Top right |
When is a nursing paper "professional"? Usually when it is written for submission beyond the course: a manuscript for a journal, or a DNP project or thesis that your program says follows professional format.
Some programs have their own title page template for capstones and DNP projects, often including the committee chair. Where the program template and APA differ, the template wins.
Heading Levels in Nursing Papers
APA 7 has five heading levels. Most course papers need only levels 1 and 2; capstones and DNP projects often use three or four. Do not label the introduction "Introduction": repeat the paper's title in bold at the top of the first page instead.
| Level | Format | Nursing example |
|---|---|---|
| 1 | Centered, bold, title case | Literature Review |
| 2 | Flush left, bold, title case | Interventions to Reduce Falls |
| 3 | Flush left, bold italic, title case | Hourly Rounding |
| 4 | Indented, bold, title case, ending with a full stop; text continues on the same line | Night-Shift Rounding. Text begins here... |
| 5 | Indented, bold italic, title case, ending with a full stop; text continues on the same line | Patients Over 80. Text begins here... |
Heading plan for a capstone (example):
Level 1: Chapter 2: Review of the Literature
Level 2: Search Strategy
Level 2: Synthesis of the Evidence
Level 3: Purposeful Hourly Rounding
Level 3: Bed and Chair Alarms
Level 4: Alarm Fatigue.
Level 2: Theoretical Framework
Use headings consistently across chapters: if "Search Strategy" is level 2 in chapter 2, equivalent sections in other chapters should also be level 2. Never skip a level, and only add a subheading if there will be at least two at that level.
In-Text Citations Nursing Papers Use Most
| Situation | Parenthetical | Narrative |
|---|---|---|
| One author | (Garcia, 2022) | Garcia (2022) |
| Two authors | (Nguyen & Patel, 2021) | Nguyen and Patel (2021) |
| Three or more authors | (Okafor et al., 2023) | Okafor et al. (2023) |
| Group author, first citation | (Centers for Disease Control and Prevention [CDC], 2023) | Centers for Disease Control and Prevention (CDC, 2023) |
| Group author, later citations | (CDC, 2023) | CDC (2023) |
| Direct quotation | (Garcia, 2022, p. 14) | Garcia (2022) noted that "..." (p. 14) |
| Secondary source | (Nightingale, 1859, as cited in Lee, 2020) | Nightingale (1859, as cited in Lee, 2020) |
| Two or more works | (Garcia, 2022; Okafor et al., 2023) | Separate narrative citations |
Abbreviate a group author only if it is well known or you cite it several times, and define the abbreviation only once. Names in the example rows are illustrative. In nursing papers, paraphrasing is strongly preferred over quotation; markers generally expect few, if any, direct quotes.
Reference Entries for Common Nursing Sources
Reference lists start on a new page with the bold, centered heading "References", are double-spaced and use a 0.5-inch hanging indent, alphabetized by first author's surname. List up to 20 authors in each entry. Include a DOI as an https link whenever one exists; database names and "Retrieved from" are not needed for journal articles.
| Source type | APA 7 pattern |
|---|---|
| Journal article | Author, A. A., & Author, B. B. (Year). Title of article in sentence case. Journal Name in Title Case, Volume(Issue), pages. https://doi.org/xxxx |
| Textbook | Author, A. A. (Year). Title of book in sentence case (Edition ed.). Publisher. |
| Chapter in edited book | Author, A. A. (Year). Chapter title. In E. Editor (Ed.), Book title (pp. xx-xx). Publisher. |
| Organization web page | Organization Name. (Year, Month Day). Title of page. URL (site name omitted when it matches the author) |
| Clinical practice guideline | Organization Name. (Year). Title of guideline. Publisher if different from author. URL |
| Government report | Agency Name. (Year). Title of report (Report No. if given). URL |
| Point-of-care database entry (for example UpToDate) | Author, A. A. (Year). Title of entry. In E. Editor (Ed.), UpToDate. Retrieved Month Day, Year, from URL |
The retrieval date is used for sources such as point-of-care databases that are designed to change over time; it is not needed for journal articles or stable reports. When a web page has no date, use "n.d.".
Citing CDC, WHO and Clinical Guidelines
Organizational sources are everywhere in nursing papers, and they cause the most formatting confusion. The organization is the author. If a specific division or agency within a larger body produced the document, either name the specific agency as author and the parent as publisher, or follow your program's preference consistently.
For guidelines published in journals, cite them as journal articles with the guideline's authors; for guidelines published on an organization's website, cite the organization.
Organization web page: Centers for Disease Control and Prevention. (2023, March 14). Hand hygiene in healthcare settings. https://www.cdc.gov/...
In text: Hand hygiene remains the most effective measure for preventing healthcare-associated infections (Centers for Disease Control and Prevention [CDC], 2023).
WHO report: World Health Organization. (Year). Title of report. https://www.who.int/...
(Dates and titles in these patterns are placeholders; use the exact details of the page you consulted.)
Tables and Figures for Clinical Data
Nursing papers often present evidence tables, baseline and outcome data, or a flow diagram of a literature search. In APA 7, the table number appears in bold above the table (Table 1), with the title on the next line in italic title case.
Use horizontal lines only where needed, no vertical lines, and add a note below for abbreviations, sources or significance levels. Figures follow the same number and title pattern.
Refer to every table and figure in the text ("as shown in Table 1"), and place them either after the paragraph where they are first mentioned or at the end, as your program prefers.
| Table element | Rule |
|---|---|
| Number | Bold, above the table: Table 1, Table 2 |
| Title | Italic, title case, one double-spaced line below the number |
| Column headings | Centered, sentence case |
| Lines | No vertical lines; horizontal lines to separate headings and the end of the table |
| Note | Below the table; define abbreviations, give sources and copyright attribution if adapted |
Numbers, Abbreviations and Clinical Terms
- Use words for numbers below 10 and numerals for 10 and above, but always use numerals for measurements, doses, percentages, ages, times, statistics and scores (for example, "5 mg", "3 days", "a 7-year-old").
- Spell out an abbreviation the first time with the abbreviation in parentheses, then use it consistently. Avoid abbreviations used only once or twice.
- Avoid clinical shorthand that is fine on a chart but not in a paper, such as "pt", "SOB" or "c/o".
- Use generic drug names in lowercase; brand names, if needed, are capitalized.
- Put statistical symbols in italics, such as p, n, M and SD.
Bias-Free Language in Nursing Writing
APA 7 strengthened its guidance on bias-free language, and it fits nursing values closely. Describe people with the specificity the context needs and in terms they would use themselves.
Use person-first language ("a patient with diabetes") or identity-first language where a community prefers it ("autistic adults"), avoid labels that reduce people to conditions ("diabetics", "the elderly"), and prefer "older adults".
Use the singular "they" when a person's gender is unknown or for a person who uses "they". Report age, sex, gender, ethnicity and disability only when relevant to the point you are making.
Patient Information and Personal Communications
Case studies, reflections and care plans draw on clinical experience, but patients must not be identifiable. Remove names, initials, dates of birth, exact admission dates, room or bed numbers and facility names. Information you gathered in practice is not cited at all.
Personal communications, such as an interview with a nurse manager or an email from a preceptor, are cited in the text only, for example (J. Rivera, personal communication, April 2, 2026), and do not appear in the reference list.
Common APA Mistakes in Nursing Papers
- Adding a running head to a student paper, or leaving one off a professional paper.
- Labeling the first section "Introduction".
- Using "et al." only after the first citation (an APA 6 rule) instead of from the first.
- Defining a group-author abbreviation more than once, or not at all.
- Missing DOIs, or DOIs in the old "doi:" format.
- Sentence case and title case mixed up in reference titles.
- Citations in the text missing from the reference list, or vice versa.
- Over-quoting instead of paraphrasing.
Final APA Checklist Before You Submit
- Title page matches student or professional format (or your program template).
- Page numbers top right on every page.
- Title repeated in bold at the top of the first page of text.
- Headings follow the level rules and are consistent.
- Every in-text citation matches a reference entry, with identical spelling and year.
- References alphabetized, double-spaced, with hanging indents and DOIs.
- Tables and figures numbered, titled and mentioned in the text.
- No identifiable patient information.
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Frequently Asked Questions
No. APA 7 student papers do not need a running head, only a page number in the top right. Professional papers, such as journal manuscripts, do. Follow your program if it says otherwise.
Use the organization as author: (Centers for Disease Control and Prevention [CDC], 2023) the first time, then (CDC, 2023). In the reference list, give the full name, date, page title in italics and URL.
Cite the organization that issued it as the author, with the year, the guideline title in italics and the URL. If the guideline was published in a journal, cite it as a journal article.
Only if your instructor requires one. APA 7 student papers usually do not, but capstones, research papers and DNP projects often do. Professional abstracts are typically up to 250 words.
For three or more authors, from the very first citation. In the reference list, list up to 20 authors.
You do not cite it. Describe it in the text with patient details removed. Interviews or emails with staff are personal communications, cited in the text only.
APA 7 accepts several fonts, including 12-point Times New Roman, 11-point Calibri, 11-point Arial and 11-point Georgia. Use one consistently, unless your program specifies one.
Yes. An editor applies APA 7 and your program template across all chapters, including headings, tables, figures, references and appendices.