How to Write a Harvard Referencing for Nursing

Yomu Team
By Yomu Team ·

In nursing education, precise Harvard referencing is critical for maintaining patient safety standards and academic integrity. Because your assignments often bridge clinical practice and theoretical frameworks, you must accurately attribute evidence-based research to ensure your clinical reasoning is legally and professionally defensible.

What Is a Harvard Referencing in Nursing?

Harvard referencing in nursing is an author-date system used to credit the sources of clinical evidence, healthcare policies, and nursing models used in your academic work. Unlike other disciplines, nursing requires specific attention to institutional authors like the World Health Organization (WHO) or the Nursing and Midwifery Council (NMC), and the referencing of grey literature such as clinical practice guidelines and hospital protocols.

Before You Start

  • Verify your specific university's nursing department handbook for variations in punctuation preferences.
  • Identify the primary author, whether it is an individual researcher or a professional body like the Royal College of Nursing.
  • Ensure you have the DOI (Digital Object Identifier) for journal articles from databases like CINAHL or PubMed.
  • Distinguish between a primary research study and a systematic review of nursing interventions.
  • Check if the document is a statutory guideline or a peer-reviewed editorial.

Identify the Source Type

Determine if your source is a core nursing textbook, a peer-reviewed journal article, or a policy document. Each requires a slightly different format in the reference list.

Example: A journal article from the 'Journal of Advanced Nursing' vs. a chapter in 'Potter & Perry's Fundamentals of Nursing'.

Tip: Always prioritize peer-reviewed journals for clinical interventions.

Format the Author Name

Start with the author's surname followed by their initials. If there are multiple authors, use 'and' before the final name.

Example: Benner, P., Tanner, C.A. and Chesla, C.A.

Tip: In-text, use 'et al.' for three or more authors to keep your clinical arguments concise.

Place the Publication Date

The year of publication follows the author's name in parentheses. This is vital in nursing as clinical evidence must be current.

Example: Mantzoukas, S. (Year).

Tip: Always use the most recent edition of clinical manuals to ensure pharmacological data is accurate.

Write the Title of the Work

For books, use italics. For journal articles, the article title is in plain text, but the journal name is italicized.

Example: Title: 'Reflective practice in nursing'. Journal: British Journal of Nursing.

Tip: Use sentence case for article titles, capitalizing only the first word and proper nouns.

Detail the Publication or Journal Info

Include the volume number, issue number in parentheses, and the full page range of the article.

Example: International Journal of Nursing Studies, 45(2), pp. 120-135.

Tip: If citing a specific point in-text, always include the page number for direct quotes from theorists.

Cite Professional Bodies as Corporate Authors

When citing guidelines, the organization acts as the author. Do not abbreviate the organization name in the reference list.

Example: Nursing and Midwifery Council. (Year). The Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates.

Tip: You can use the abbreviation (NMC) in-text after the first full mention.

Include the DOI or URL

For online-only nursing journals or PDF reports, provide the DOI or the full URL with the date you accessed it.

Example: Available at: http://www.nice.org.uk/guidance/cg139 (Accessed: 12 July).

Tip: DOIs are preferred over URLs as they are permanent links to the clinical research.

Alphabetize the Reference List

Organize your final list alphabetically by the surname of the first author or the name of the healthcare organization.

Example: Aggleton, P. comes before Department of Health.

Tip: Do not categorize by source type; keep one single alphabetical list at the end of your essay.

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Common Mistakes to Avoid

  • Using 'et al.' in the reference list instead of listing all authors (up to the limit specified by your guide).
  • Italicizing the article title instead of the journal name.
  • Forgetting to include the 'Accessed' date for online clinical guidelines or NICE pathways.
  • Citing Wikipedia or non-academic nursing blogs instead of evidence-based sources like Cochrane Reviews.
  • Missing the page numbers for specific nursing interventions cited from a textbook.
  • Inconsistent punctuation, such as missing the full stop after the author's initials.

Pro Tips

  • Use 'Secondary Referencing' sparingly; try to find the original nursing study instead of citing it through a textbook.
  • Keep a running log of references while you research in CINAHL to avoid searching for them later.
  • When citing the British National Formulary (BNF), treat it as a title without an author if no specific editor is listed.
  • Ensure your in-text citations for the 'Mental Health Act' or 'Care Act' use the correct legal citation format.
  • Check if your nursing school prefers 'and' or the ampersand (&) for in-text citations.

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Frequently Asked Questions

How do I cite the NMC Code in Harvard format?

The Nursing and Midwifery Council is the corporate author. In the reference list, it should appear as: Nursing and Midwifery Council. (Year) The Code. London: NMC. In-text, use (NMC, Year).

Do I need to cite a drug handbook if I mention a dosage?

Yes, any clinical data, including drug dosages or contraindications, must be referenced to a reliable source like the BNF or a specific pharmacopoeia to ensure academic and clinical accountability.

How do I reference a nursing theory found in a textbook?

If you are citing a theory (e.g., Roper-Logan-Tierney) described in a general textbook, you should ideally find the original work by the theorists. If you cannot, cite the textbook author and state 'Roper et al., cited in [Book Author], [Year]'.

Is the format different for the NICE guidelines?

NICE guidelines follow the corporate author format. Use 'National Institute for Health and Care Excellence' as the author, followed by the year, the title of the guideline in italics, and the guideline number (e.g., NG12).

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