AMA 11th Edition Citation Guide for Nursing and Health

AMA style uses superscript numbers in the text and a numbered reference list instead of author-date citations. It is common in medicine and allied health, and some nursing programs and journals require it. Here is how it works, with examples.

Superscript numbers Numbered list Journals Books Guidelines

What AMA Style Is and When You Will Use It

AMA style comes from the AMA Manual of Style, now in its 11th edition (2020). It is the house style of the JAMA Network journals and is widely used in medical, pharmacy and other health-science writing. Most nursing programs still use APA 7, but some (often programs that sit inside a medical or allied-health school, or coursework that mirrors medical journals) ask for AMA. If your syllabus does not say, ask your instructor rather than guess. A close cousin, Vancouver style, also uses numbered citations.

About the examples. Examples on this page are illustrative. Fictional authors, journals and placeholder DOIs (10.xxxx/xxxxx) are used, alongside a few well-known real references. Always copy details from your own sources, and follow your program's style requirements.

Numbering in the Text

Sources are numbered in the order they first appear in your paper. The number is a superscript placed after the idea it supports. A source keeps its original number every time you cite it again.

RuleExample
Number goes after a period or commaBedside handoff can improve patient involvement.1
Number goes before a colon or semicolonThree approaches were compared2: bedside, verbal and written.
Two sources in a row use a comma, no space...reduced readmissions.3,4
Three or more in a row use a hyphen...several trials.5-7
Separate groups use commas...consistent findings.1,3,5-7
Naming the author in a sentenceNguyen et al1 reported that... (no period after "al")

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The Reference List

Journal Articles

Format
Surname AA, Surname BB. Title of article in sentence case. Abbreviated Journal Name. Year;Volume(Issue):Pages. doi:xxxxx
Example: fictional article
Nguyen TH, Okafor CA. Bedside shift report and patient-reported safety in medical-surgical units: a mixed-methods study. J Nurs Examples. 2022;18(3):210-218. doi:10.xxxx/xxxxx
Example: real, well-known article
Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996;312(7023):71-72. doi:10.1136/bmj.312.7023.71

An article you found through CINAHL or PubMed is cited exactly the same way. The journal is the source, not the database. Copy the abbreviation, volume and page numbers from the article itself.

Books and Book Chapters

Book (real, well-known example)
Melnyk BM, Fineout-Overholt E. Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. 4th ed. Wolters Kluwer; 2019.
Chapter in an edited book (fictional)
Lindqvist M. Assessing pain in older adults. In: Okafor CA, Nguyen TH, eds. Fundamentals of Nursing Assessment. 2nd ed. Example Medical Press; 2020:145-168.

The edition is included only when it is not the first. The chapter's page range follows the year after a colon.

Websites, Reports and Guidelines

Web page (fictional)
Regional Nursing Safety Council. Preventing falls in acute care: a patient handout. Published March 14, 2023. Accessed May 2, 2025. https://www.example.org/xxxxx
Government or organisation report (real, well-known example)
Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. National Academies Press; 2011. doi:10.17226/12956
Clinical practice guideline (fictional)
Regional Nursing Safety Council. Prevention of Pressure Injury in Adults: Clinical Practice Guideline. 2nd ed. Regional Nursing Safety Council; 2022. Accessed May 2, 2025. https://www.example.org/xxxxx

For web pages, the access date is part of the entry. If you know the date a page was published or last updated, include it before the access date. Guidelines are handled like reports when they are stand-alone documents, and like journal articles when they appear in a journal. The guideline citation guide has more, and the website and government report guides cover related cases.

AMA at a Glance Compared With APA 7

FeatureAMA 11APA 7
In-textSuperscript number(Author, Year)
List orderOrder of first citationAlphabetical
Author namesNguyen THNguyen, T. H.
Long author listsMore than 6: first 3, then et alUp to 20 listed
Journal nameAbbreviated, italicFull name, italic
DOIdoi:10.xxxx/xxxxxhttps://doi.org/10.xxxx/xxxxx

Common AMA Mistakes

Cite every source you use, and follow your institution's academic-integrity policy. For the official manual and journal-name lookups, use the National Library of Medicine site.

Frequently Asked Questions

Do nursing programs use AMA?

Some do, especially those close to medical or allied-health schools, but APA is more common in nursing. Your syllabus or program handbook decides.

Can I use footnotes for AMA numbers?

AMA numbers are usually superscripts in the text, with the matching list at the end. Use footnotes only if your instructor asks.

How do I cite a source I used twice?

Use the same number. If you need specific pages, add them to the reference number in the text according to your instructor's preference.

Where do I find the correct journal abbreviation?

Look up the journal in the NLM Catalog, or copy the abbreviation from the article's own citation on the publisher or PubMed page.