Nursing Literature Review

How to Write a Nursing Literature Review, Standalone or as a Capstone Chapter

Search strategy, screening, appraisal, synthesis matrices and structure for nursing literature reviews, whether you are writing a standalone assignment or the literature chapter of your capstone.

Updated October 2026 · 8 min read

Nursing students write literature reviews in two main forms: as a standalone assignment, often in a research or EBP course, and as the literature review chapter of a capstone or DNP project.

The skills are the same: finding the right evidence, judging its quality and synthesizing it into an argument. What differs is the purpose and scope.

This guide covers both. It walks through planning, searching, screening, appraising and synthesizing, then explains how to structure the review and how a capstone chapter differs from a standalone review.

Quick Answer

A nursing literature review identifies, appraises and synthesizes research on a focused question. Define the question (often in PICOT form), search databases such as CINAHL and PubMed with subject headings, keywords and Boolean operators, screen results against inclusion criteria, appraise each study's level and quality with a recognized tool, record findings in a synthesis matrix, and write the review by theme, ending with gaps and implications. A capstone literature review chapter does the same but focuses on justifying your chosen intervention.

Types of Nursing Literature Review

TypePurposeTypical use
Narrative reviewSummarize and discuss literature on a topicCourse assignments, background sections
Integrative reviewCombine diverse study designs, including qualitative and quantitative, to answer a questionEBP projects, many capstones and DNP projects
Systematic reviewAnswer a precise question with a pre-planned, reproducible method, often with meta-analysisResearch teams, some doctoral work
Scoping reviewMap the extent and nature of research on a broad topicExploring emerging areas
Capstone literature chapterJustify an intervention for a specific practice problemBSN, MSN and DNP capstones

Students sometimes call a review "systematic" because they searched systematically. A true systematic review follows a published protocol, a team screening process and reporting standards such as PRISMA 2020; if your course only needs a structured search, call it a literature review or integrative review.

Defining the Question and Scope

A focused question makes searching manageable. For intervention questions use PICOT; for experience questions, a qualitative format such as population, phenomenon of interest and context. Then set limits before you search: date range (often the last five to ten years, with landmark studies allowed), language, study designs, settings and populations. Writing these down now becomes your inclusion and exclusion criteria.

List the key concepts from your question, then build synonyms for each. Combine synonyms within a concept with OR and combine concepts with AND. Use the database's subject headings (MeSH in PubMed, CINAHL Headings in CINAHL) as well as free-text keywords, and use truncation, such as nurs*, to capture word endings.

Question: In older adult inpatients, does hourly rounding reduce falls?

Search string: ("hourly rounding" OR "intentional rounding" OR "purposeful rounding") AND (falls OR "accidental falls" OR "fall prevention") AND (inpatient* OR hospital* OR ward*)

Limits: 2019 to present, English, peer-reviewed, adults.

DatabaseCoverage
CINAHLNursing and allied health; essential for nursing reviews
PubMed / MEDLINEBiomedical literature with MeSH indexing
Cochrane LibrarySystematic reviews and trials
PsycINFOMental health, behavior and education topics
Guideline sourcesNational and professional clinical practice guidelines

Record each search: database, date, string, limits and number of results. This record lets you report the search accurately and repeat it later.

Screening and Selecting Studies

Remove duplicates, screen titles and abstracts against your criteria, then read the full text of possible studies to confirm eligibility. Record how many you excluded at each stage and why.

Many programs ask for a PRISMA-style flow diagram showing records identified, screened, excluded and included, even for non-systematic reviews; PRISMA 2020 is the current version of the reporting guideline. Expect to keep a small fraction of what you found.

Appraising Level and Quality

Appraisal is what separates a review from a summary. For each study, identify the design and level of evidence, then judge its quality: sample size and selection, bias, validity of measures, appropriateness of analysis, and whether conclusions follow from results. Use the tool your program teaches.

Tool or hierarchyWhat it offers
Johns Hopkins EBP modelEvidence levels I to V with quality ratings A, B or C, plus appraisal forms
Melnyk and Fineout-Overholt hierarchySeven levels from systematic reviews of RCTs down to expert opinion
CASP checklistsDesign-specific question sets for trials, cohort, qualitative and other studies
JBI critical appraisal toolsChecklists for a wide range of study designs

Building a Synthesis Matrix

A synthesis matrix, or evidence table, puts every study in one view so you can compare across them. Columns usually include citation, purpose, design and level, sample and setting, intervention, outcomes and measures, key findings, limitations and relevance to your question. Add theme columns once patterns appear, and tick which studies speak to each theme.

StudyDesign / levelSampleKey findingTheme
Study AQuasi-experimental / II4 medical unitsFalls fell after rounding introducedEffect on falls
Study BQualitative / III18 nursesRounding seen as burdensome without staffing supportImplementation barriers
Study CSystematic review / IMultiple studiesMixed evidence; stronger effect with consistent adherenceEffect on falls; fidelity

The entries above are illustrative placeholders that show the format; your table must contain real, cited studies.

From Summary to Synthesis

Synthesis means combining findings to say something no single study says. Write each paragraph around a theme, opening with a claim, then supporting it with several studies, comparing their results and weighing their quality. Note where studies disagree and suggest why: different settings, samples, measures or adherence.

Summary style: "Study A found falls decreased. Study B interviewed nurses. Study C reviewed several studies."

Synthesis style: "Evidence on hourly rounding and falls is promising but inconsistent. Studies reporting reductions tended to measure adherence and support staff with protocols, whereas reviews note weaker effects where rounding was inconsistently delivered. Qualitative findings help explain this pattern: nurses describe rounding as burdensome without adequate staffing."

Language for Critical Appraisal

Many students know a study has weaknesses but struggle to say so in academic prose. Precise, measured phrasing shows judgment without dismissing the work.

PurposeUseful phrasing
Comparing findings"Consistent with...", "In contrast to...", "Findings diverged on..."
Weighing strength"The strongest evidence comes from...", "Most studies were quasi-experimental, limiting causal claims"
Noting limitations"The small, single-site sample limits generalisability", "Outcomes were self-reported"
Identifying gaps"Few studies examined...", "No included study measured long-term..."
Drawing conclusions"Taken together, the evidence suggests...", "On balance, the evidence supports..."

Managing Sources and Citations

A literature review can involve dozens of sources, so organization matters from the first search. Use a reference manager such as Zotero, EndNote or Mendeley to store PDFs, notes and citation details, and tag each source by theme. Keep your synthesis matrix and reference library in step, so every row in the table has a matching reference.

Check APA 7th edition rules as you go: author-date citations, "et al." for three or more authors, and DOIs written as URLs in the reference list. Fixing citations at the end of a long review takes far longer than getting them right as you write.

Structuring the Review

  1. Introduction: the topic, its importance and the review question.
  2. Methods: databases, search terms, limits, inclusion criteria and number of sources, with a flow diagram if required.
  3. Themed body: two to five themes, each with synthesis and appraisal.
  4. Gaps and limitations: what the evidence does not answer and where it is weak.
  5. Conclusion and implications: what the evidence means for practice or for your project.

Themes can be organized by outcome, by intervention component, by population or setting, or chronologically when the field has shifted. Thematic organization is usually strongest.

The Capstone Literature Review Chapter

A capstone chapter follows the same process but has a narrower job: show that the best available evidence supports your chosen intervention for your population and setting. Themes typically cover the problem and its consequences, the effectiveness of the intervention, implementation factors (barriers, facilitators, staff training) and outcome measurement.

End with a synthesis paragraph that leads directly into your framework and methods, for example by stating which intervention components the evidence supports and which outcomes it suggests measuring.

FeatureStandalone reviewCapstone chapter
PurposeAnswer a question or map a topicJustify a specific intervention
ScopeCan be broadNarrow, tied to the PICOT question
ConclusionImplications and gapsClear link to the project plan
Typical lengthSet by the assignmentOften 25 to 30% of the capstone paper

Our guide to the evidence-based practice process in nursing explains how the review fits into the wider EBP cycle.

Common Literature Review Mistakes

How GradeEssays Helps with Nursing Literature Reviews

Send your topic or PICOT question, the review type, rubric, required number and age of sources, any articles you have already chosen and your deadline.

A Standard, Master or Elite nursing writer searches appropriate databases, screens and appraises the studies, builds an evidence table, and writes a themed custom review in APA 7th edition format, with a search summary or flow diagram if required. For capstones, the chapter is shaped to lead into your framework and methods.

Work is written from scratch and plagiarism-checked before delivery, every source is real and cited, your identity is never shared with the writer, and revisions within the scope of your original request are free.

Late delivery, or cancellation before work starts, means a full refund. Deadlines run from 3 hours to 20 days, and price depends on length, deadline, academic level and writer tier.

Turn Your Articles into a Real Synthesis

Send your topic or PICOT question, rubric, required sources and deadline. A nursing writer builds an evidence table and a themed, critical literature review.

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Frequently Asked Questions

How many sources should a nursing literature review have?

It depends on the assignment. Course reviews often use 8 to 15 sources; capstone chapters frequently use more. Follow your rubric.

How recent should sources be?

Most programs expect the last five years for clinical evidence, sometimes ten, with landmark studies and current guidelines allowed.

Which databases should nursing students use?

CINAHL and PubMed are essential, with Cochrane for systematic reviews and PsycINFO for mental health topics.

What is a synthesis matrix?

A table comparing studies across design, sample, findings, quality and themes, used to plan a synthesized review.

Do I need a PRISMA flow diagram?

Systematic reviews need one; many programs also ask for a simplified version in capstone or integrative reviews. Check your rubric.

What is the difference between an integrative and a systematic review?

An integrative review combines diverse designs to answer a question; a systematic review follows a strict pre-planned protocol to answer a precise question, often with meta-analysis.

How is a capstone literature review different?

It is narrower and exists to justify your chosen intervention, ending with a clear link to your framework and methods.

Can you use the articles I have already found?

Yes. Send them and we will appraise them, fill gaps with further sources if needed and build the review around them.

How do I organize themes in a literature review?

Group studies by what they say rather than who wrote them: by outcome, intervention component, population or implementation factor. Two to five themes usually work.

Can I include gray literature?

Often yes, especially clinical guidelines and government reports. Check whether your rubric limits sources to peer-reviewed research.