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Guidelines for
Referencing and
Bibliographical
Citation 2017-18
Based on the APA 6th edition
[Type text]
The School of Life & Medical Sciences Guide to Referencing and Bibliographical
Citation: Contents
Introduction 1
References 23
The School of Life & Medical Sciences Guide to Referencing and
Bibliographical Citation
Introduction
This handbook provides information on writing and citing references for all staff and students within
the School of Life and Medical Sciences. There are many versions of the Harvard referencing system
and this citation guide has been developed using the American Psychological Association [APA]
guidelines (American Psychological Association, 2010) and the British Standard Recommendations
for References to Published Materials (British Standards Institution [BSI] 2002). It is important that
you adopt these citation guidelines for all your assignments1, so that referencing is achieved
consistently and accurately across the School.
Why reference?
Referencing all sources of information within written work is an important part of academic
integrity as it tells the reader where you have found your information, how up to date it is, and the
extent, depth and appropriateness of your reading relevant to your assessment. It also helps the
reader to differentiate between your personal thoughts and experiences and those of others.
Academic staff marking work will always watch out for evidence of plagiarism and if this is detected,
it will be reported to the School Academic Conduct Officer (FACO).
Stages in Referencing
Referencing requires you to do two things: cite sources in your written text and, at the end of your
work, provide a list of references that were referred to in your text. Note, if you have consulted
other relevant material but NOT referred to it in the text, this is listed in a separate Bibliography,
which follows the same rules for listing the references and is placed after the reference list.
1 Note – in special cases where students are undertaking modules administered by or associated with other Faculties or
Schools, there may be a requirement to adopt an alternative system, e.g. Oxford System for English Case Law as required by
the School of Law. Where this is the case, the module assessment guide will indicate this.
1
Section 1: Citations in the Text
1.1 Citing sources in the text
This citation guidance uses an author-date style approach. The following are examples of:
• referencing material correctly in the text;
• referencing the material using a direct quotation;
• plagiarism.
Please take time to read these examples carefully, if you still are unsure of the difference, please
see your personal/academic tutor. Remember, if the members of staff marking your work are
querying your academic integrity, i.e. that you have copied work either from a published source or
another student they WILL investigate and if evidence confirms academic dishonesty you will be
referred to the Faculty Academic Conduct Officer.
The original text: (not from a published source but will be referred to as Fletcher, 2005)
Selection of equipment to prevent pressure ulcers is a complex task. Information about the
patient’s lifestyle and the environment in which they are to be cared for is as important as the
determination of their level of risk. A wide variety of systems are available for both bed and
chair allowing for 24 hour provision of equipment. Any patient who is provided equipment for
the bed and spends part of the day sat out (whether in a chair or wheelchair) should also have
the relevant seating provided as in the sitting position the body weight is supported on a far
smaller surface area and is therefore at greater risk.
Tip: Remember to put the full stop after the bracketed reference (see above).
Plagiarism
Mrs X required specialist pressure ulcer prevention equipment. Selection of equipment to
prevent pressure ulcers is a complex task. Information about the patient’s lifestyle and the
environment in which they are to be cared for is as important as the determination of their
level of risk. A wide variety of systems are available for both bed and chair allowing for 24
hour provision of equipment. The nurses caring for Mrs X had only limited experience of
equipment selection and therefore requested help from the Tissue Viability Nurse.
In this example you can see that the sentences have been copied directly from the original text and
no reference is made to the original source - this is plagiarism.
2
1.2 Direct quotations
A direct quotation of 40 or less words from another author’s work is placed in double quotation
marks and the page number(s) of the quotation is/are included. Single page numbers are denoted
by ‘p.’, multiple pages by ‘pp.’.
Examples:
Balaskas (1990) states “many women underestimate the sheer hard work, dedication and
patience involved in caring for a baby” (p. 13).
“... where full disclosure would inevitably lead to biased responses some degree of covert data
collection is feasible, particularly when dealing with sensitive aspects of subjects’ behaviour”
(Clarke, 1996, pp. 434-435).
The three dots in the above example indicate that the beginning of the sentence in the original has
been omitted from the quotation.
If you add anything to the direct quotation in order to improve the reader’s understanding, this is
included within square brackets.
“Many such defects [congenital] are not serious and may go unnoticed for a lifetime” (Tortora &
Derrickson,2008, p.752).
If the direct quotation has more than 40 words the quotation forms a separate indented paragraph,
double spaced, without double quotation marks.
Example:
Redman (1976) found the following:
A major purpose of stating objectives specifically is to help the learner
having the teacher explain the goals and provide a model of the correct
NOTE:
All types of direct quotations should be used SPARSELY; they should only be used to accentuate
significant points.
It is not acceptable for your work to consist of a large number of direct quotations because this is
not your original composition and it uses up valuable words from your assignment word count.
3
1.3 Citation of books and journal articles in text: number of authors
Two Bale and Jones (1997) report that the assessment of a wound requires the nurse
to have an underlying knowledge of the factors that may affect the healing
Always cite both process.
names every time the
reference occurs in The assessment of a wound requires the nurse to have an underlying knowledge
the text. of the factors that may affect the healing process (Bale & Jones, 1997).
Three to five (First citation):
Long, Jones, Peters and Brown (1995) report that there are a number of factors
Cite all the authors which may influence health promoting behaviours and these include the
the first time the individual’s perception, cognitive ability and demographic characteristics.
reference occurs; in
subsequent citations (Subsequent citation of same reference)
of the same reference, Long et al. (1995) suggest that health promoting behaviours are the most
include only the significant factors.
surname of the first
author followed by ‘et Exception: if two references with the same years shorten to the same form (e.g.
al.’ and the year. Martin, Butler and Jamieson, 1994, and Martin, Jamieson, Butler and Penn, 1994,
shorten to Martin et al., 1994), cite the surnames of the first authors and as many
of the subsequent authors as necessary to distinguish the two references.
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Note:
When two or more sources support the same point, list them alphabetically and separate the
sources with a semi-colon (Armstrong & Wild, 2007; Bateman, 2009; Clark & Mahoney, 2006)
When citing references in running text, you should join multiple author citations by the word ‘and’,
whereas in the reference list or in bracketed citations, you should join the names by an ampersand
‘&’.
Running text - Smith and Jones (2010) identified that the phrasing of work...
Bracketed citation - phrasing of work can influence the grade gained (Smith & Jones, 2010).
Note: Include a full stop after ‘al’ as it is an abbreviation, i.e. ‘et al.’
Note: When citing the reference at the end of the sentence, remember to put a full stop after the
‘al.’ plus a comma before stating the year.
Example:
In a systematic review of diagnostic and screening tests ter Riet (2001) simplified two main
issues.
Examples:
J.P. Edwards (1997) states that conformity to group norms brings psychological rewards through
the acceptance by and support of other members.
The presence of others may sometimes inhibit individual performance (F. Edwards, 1996).
Example:
Anonymous (2010) identified that timetabling can influence a student’s learning experience.
5
Example:
Damage to the perirhinal cortex can cause impairments on delayed non-matching to sample
tasks (Brown et al., 1995; Gaffan & Buckley, 2001; Zola, 1998).
1.8 Two or more publications from the same author(s) in the same year
If two or more documents have the same author and year, they are distinguished by lower case
letters (a, b, c etc.), following the year within brackets. They are ordered by their appearance in the
text, i.e. the first article/book cited is a and so on.
Example:
Edwards (1997a, 1997b) states that health professionals must have a clear understanding of
physiological principles in order to accurately record both blood pressure and temperature
measurements.
In order to record blood and temperature measurements, health professionals must have a clear
understanding of physiological principles (Edwards, 1997a, 1997b).
Example:
Ruston and Wells (1999) describe the use of a change management team to introduce leg ulcer
management guidelines.
Example:
It is arguable that light is one of the most critical sources of energy. Earliest history refers to the
sun (light) and in the first book of the Bible it says ‘let there be light’ (Genesis 1:3)
Example:
The Board, in responding to the Government’s strategy relating to the resistance of antibiotics
and other antimicrobial agents continues to encourage all education providers to ensure that
infection control and the related issue of antibiotic use remain important themes through
education programmes (ENB, 1999).
Tip: Care must be taken when accessing information available on the World Wide Web (WWW)
through the Internet, as information is often not reviewed and may lack academic validity.
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1.12 Citations from Government or other Organisation publications
There is a range of Government publications that you may wish to cite in your work. These include
Acts of Parliament, Command Papers, Statutory Instruments, Bills and Committee Reports. In citing
such material the country of origin, the name of the department who issues the publication and the
date should be cited.
Example of Bills:
All members of a workforce are entitled to be become a Trade Union member (UK Parliament,
1984).
Example of Medicines and Healthcare Products Regulatory Agency Bulletins (formerly the
Medical Devices Agency):
Trusts should identify medical electrical systems, assess risks and take remedial action as is
required (UK Medical Devices Agency, 2003).
Example:
Every community nurse should have training in child protection policies and procedures (Health
Visitors’ Association, 1994)
Example:
A study was undertaken to explore patients’ self-monitoring of postoperative pain (Fordham,
1985).
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1.15 Citations from conference material
Material cited from published conference proceedings is treated in the same way as books or
journals.
Example 1:
Greenwood and Butcher (1997) describe how lasting change was achieved in a busy surgical
environment utilising the skills of existing nurse specialists.
Whenever unpublished conference material is cited reference should be made to the author’s
surname and the phrase unpublished conference paper/poster.
Example 2:
Curriculum development requires systematic, advanced planning (Pendleton,1999, unpublished
conference paper).
Example:
This company producing pressure relieving equipment is becoming increasingly aware of the
diversity of their market, offering bespoke products tailored to meet individual patient’s needs
(Karomed, n.d.).
Example 1:
Patient involvement in care is a concept which must be addressed by all members of the multi-
disciplinary team (I.T. Smith, unpublished work, May 4, 2005).
Example 2:
I have found that a skills laboratory provides a secure environment for the teaching of clinical
skills (J.M. Humphries, personal communication, August 1,2003).
Examples:
The impact of undiagnosed post-natal depression can often have adverse effects on all family
members (British Broadcasting Corporation, 1995).
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Breast feeding is recommended for at least the first four months of life, to enable the best
possible start, as it protects against respiratory diseases and gastro-enteritis (Royal College of
Midwives, 1990)
Example 1:
... Journal publication is seen as a significant element in maintaining a research culture
(Prestwich, 1999).
To cite material from a newspaper where no author is indicated, the name of the newspaper and
year of publication is given in the text.
Example 2:
The first full-time paramedic science degree course in the country was launched with a visit from
MP Baroness Helene Hayman (Welwyn and Hatfield Times, 1999).
Example:
Hawking (1994, CD-ROM) describes his theory of the beginning of the universe.
Example:
You might like to consider making reference to relevant government policy in this assignment (P.
Brown, personal communication, May 29, 1999)
Example:
Fletcher (2000) suggests a range of mechanisms by which the presence of necrotic tissue may
delay wound healing.
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1.24 Citation from legal materials
References from legal materials should be treated like references with no authors. Materials such as
court cases, statutes, and legislation should be cited by the first few words of the reference and the
year, thus enabling the reader to identify the reference within the reference list. Court decisions
should be cited by giving the name of the case in italics and the year of the decision. If two or more
years are given, cite those years as well.
Example 2: Statute
Individuals that pose a risk to themselves or others may be sectioned (Mental Health
Systems Act,1988).
Example 3: Resolutions
The bill which was initially passed by the House of Representatives was then resolved by
the senate (Senate Resolution 106, 1998).
Examples:
Winter (1962, cited in Thomas, 1990) demonstrated that in pigs superficial acute wounds that
were kept moist healed more rapidly.
In pigs, superficial acute wounds that are kept moist heal more rapidly (Winter, 1962, cited in
Thomas, 1990)
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Section 2.0 Presentation of a Reference/Bibliography List
References are listed at the end of the text, followed by the Bibliography list (if used) BEFORE any
appendices (if there are any). Important things to note are:
Edition –N.B. only included if (in brackets and abbreviated to (2nd ed.).
NOT a first edition ‘ed.’) followed by a full stop
Mitchell, N. (1981). Social attribution: A primer in obvious psychology. (2nd ed.). London:
MacMillan.
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2.1.1 Multiple authors
Two Joined by ‘&’ Bale, S. & Jones, V. (1997). Wound care nursing: A
patient centred approach. London: Baillière
Tindall.
Three, four Use commas and an ‘&’ Short, B. C., Smith, W. J. & Beaufort, V. L. (2000).
and five
Assessment: A structured approach. London:
Mosby.
Six or more Provide the initials and Croft, H. M., Martin, P. L., Range, K. A., Peters, S.
surnames of the first six
Z., Burton, L. R., Right, D. V., et al. (1985).
authors, and shorten any
remaining authors to ‘et al.’ Physiology for beginners. (4th ed.). London:
Baker.
Schiraldi, G.R. (2001). The post-traumatic stress disorder sourcebook: a guide to healing, recovery
and growth [Adobe Digital Editions version]. doi: 10.1036/10071393722
Example 1:
Ruston, A. & Lawes, M. (1999). The management of leg ulcers in the community: A
multi-disciplinary experience in primary care. In D. Humphris, & P. Littlejohn (Eds.),
Implementing clinical guidelines: A practical guide. (pp. 63-75). Abingdon: Radcliffe Medical
Press.
Example 2:
Botham, I. T. & Argyle, M. (1972). Staring you in the face. In M. Thatcher (Ed.), If it had
teeth: Fifteen years of research into non-verbal communication. (pp. 315-337). New York:
Academic Press.
12
2.1.4 Referencing two or more publications from the same author(s) in the same year
The basic order of elements is the same as the examples given above; however the references are
presented in the alphabetical order of the lower case letters.
Examples:
Department of Health. (1989a). Caring for people. London: HMSO.
2.1.5 Referencing two or more authors with the same surname and same initial in the same
year
The basic order of elements is the same as each of the examples given above; however the
references are presented in the alphabetical order of the lower case letters.
Examples:
Walsh, M., & Jones P. (1987a). The way forward. London: McKnight.
2.1.6 Referencing an individual author and one by the same individual with another co author
List the individual author first, then the reference with the co-author.
Examples:
Hoskin, P. J. (2006). Radiotherapy in practice. External beam therapy. Oxford: Oxford University
Press.
Hoskin, P.J. & Coyle, C. (2005). Radiotherapy in practice: brachytherapy. Oxford: Oxford University
Press.
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2.2 Referencing a journal
When a reference originates from a journal the basic order of elements are:
Author's surname and initials Separated by a comma and are Brown, A. & Green, A.
followed by a full stop
Title of the journal in italics and title case, i.e. each Trend in Microbiology
word begins with a capital letter
Page numbers of the article page numbers are not preceded Trend in Microbiology, 5(10),
by ‘pp’ as they are for book 65-70.
chapters; followed by a full stop
Two authors Joined by ‘&’ Ridley, R. M. & Baker, H. F. (1999). Big decisions based on
small numbers: Lessons from BSE. The Veterinary
Quarterly, 21(3), 86-92.
Three, four and Use commas and an Cowley, S., Bergen, A., Young, K. & Kavanagh, A. (1996).
five ‘&’
Identifying a framework for research: the example of
health needs assessment. Journal of Clinical Nursing,
5(1), 53-62.
Six or more Provide the initials Lee, A. C., Buckley, M. J., Pegman, S.J., Spiers, H., Scahill,
and surnames of the
V. L., Gaffan, D., et al. (2005). Specialization in the
first six authors, and
shorten any medial temporal lobe for processing of objects and
remaining authors to
scenes. Hippocampus. 15(6), 782-797.
‘et al.’
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Note: when referring to electronic journal publications, you still must reference the article as a
journal article even though you have accessed it on line. You do not reference it as a Web reference
therefore you do not need to state ‘retrieved on’ and do not need to provide the URL. Even though
the journal article is accessible online, it has been peer reviewed and ‘published’. There may be
occasions where an article has been accepted for publication and is available via the electronic
journal but has not yet been allocated a volume, issue or page number. In place of the missing
information, use the term ‘in press’.
2.2.1 Referencing two or more publications from one author in different years
The basic order of elements is the same; references are placed in chronological order.
Moffatt, C. (1997). Know how. Four-layer bandaging. Nursing Times, 93(16), 82-83.
ter Riet, G., Kessels. A. G. & Bachmann, L. M. (2001). Systematic reviews of evaluations
of diagnostic and screening tests. Two issues were simplified. British Medical Journal,
323(7322), 1188, (letter).
When the reference originates from the World Wide Web the basic order of elements is as follows:
• Author’s/editor’s surname, initial (separated by a comma and followed by a full stop).
• Year (in brackets) followed by a full stop e.g. (1999).
• Title of article (in lower/sentence case) e.g. The effects of locus of control on causal
attributions.
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• Title of source (in italics) followed by a full stop.
• Edition (if appropriate) followed by a full stop.
• State date of retrieval (Month, Day, Year) separated by commas e.g. ‘Retrieved August, 17,
2007’
• Place of publication (if appropriate)
• Publisher (if appropriate) or URL address followed by a full stop.
References to these messages should be treated in a similar way to journal references using the list
name in place of the journal title (but not in italics) and subject line of the message in place of the
article title. These details together with the author will appear in the message header.
Clarke, D. & Young, J. (2001, June 8). Substance misuse resource. Message posted to
UK.sci.med.nursing, archived at news:uksc.med.nursing.
Fletcher, J. (2001). How necrosis delays healing. Retrieved August 21, 2007, from
StudyNet (Problem Wounds 3NMH 0025). Semester A 2004/2005.
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2.8 Referencing Government Publications
When including Government publications in a reference list/bibliography, Acts of Parliament,
Command Papers, Statutory Instruments, Bills and Committee Reports should be cited as follows:
Act of Parliament
• Country of origin.
• Originating department.
• Year (in brackets).
• Title of Act (in italics and title case).
• Place of publication:
• Publisher.
A Command Paper:
• Country of origin.
• Originating committee.
• Year (in brackets).
• Command paper title (in italics and title case).
• Place of publication:
• Publisher.
• Committee chairman (in brackets):
• Command paper number (in brackets).
United Kingdom. Committee for Health and Safety at Work. (1972). Report 1970-1972.
London: HMSO. (Chairman Lord Robens): (Cmd.5034) .
A Statutory Instrument:
• Country of origin.
• Statutory Instrument.
• Year (in brackets).
• Title of the Statutory Instrument (in italics and title case).
• Place of publication:
• Publisher.
• Statutory Instrument number (in brackets).
United Kingdom. Statutory Instrument. (1980). Health and Safety: The Notification of
Accidents and Dangerous Occurrences Regulations. London: HMSO. (S.I. No.
5081).
A Bill:
• Country of origin.
• Originating body.
• Year (in brackets).
• Title of Bill (in italics and title case)
• Place of publication:
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• Publisher.
A Committee Report:
• Country of origin.
• Originating body.
• Year (in brackets).
• Title of Committee Report (in italics and title case).
• Place of publication:
• Publisher.
• Committee chairman (in brackets).
United Kingdom. Ministry of Health and Scottish Home and Health Department. (1980).
Report of the Committee on Senior Nursing Structure. London: HMSO. (Chairman B. Salmon).
Department of Health. The Single Assessment Process for Older People. (HSC 2002/001).
A Medicines and Healthcare Products Regulatory Agency Bulletin (Formerly the Medical Devices
Agency):
• Agency name in full (in title case).
• Reference number of bulletin (in brackets).
• Title of bulletin (in lower/sentence case).
Health Visitors’ Association. (1994). Protecting the child - an HVA guide to practice and
procedures. London: HVA.
18
The basic order of the elements should be:
• Author (if known).
• Title (in italics).
• Author of Chapter/Book.
• Number of Chapter/Book.
• Verse.
• Translation/Version.
• Place of Publication:
• Publisher.
If no author or editor is given on the title page the name of the conference is cited first in italics
Greenwood, D. & Butcher, M. (1997). Bringing the issue of documentation to the ward
staff. In D. Leaper, C. Dealey, P.J. Franks, D. Hofman & C. Moffatt (Eds.), Proceedings of the
7th European Conference on Advances in Wound Management. (pp.134-136). Cambridge:
University Press.
Whenever printed but unpublished conference material (for example a poster) is cited in the
reference list/bibliography the following basic order of elements should be used:
• Author surname and initials.
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• Year and month (in brackets).
• Title of conference material (in lower/sentence case).
• Type of material.
• Conference title (in italics and title case).
• Place of conference.
Walker, Z. (1998, March). Promoting teenage health in primary care. Poster session
presented at The 6th Annual Public Health Forum. Lancaster.
If citations are from films, videos and broadcasts, the following basic order of elements should be
used:
• Name of director/producer/production team.
• Year (in brackets).
• Title of production (in italics and title case).
• In square brackets include as is appropriate the phrase [Video], [Motion Picture] or [details
of the programme’s transmission].
• Place of production:
• Name of production company
Aaron Sorkin. (Writer). (2003). The West Wing [Television series] New York: New York
Broadcasting Company
20
Royal College of Midwives. (1990). Helping A Mother To Breastfeed: No Finer
Investment. [Video]. London: Healthcare Productions.
Prestwich, P. (1999, May 18). Researchers keep their heads in history. The Guardian, p.2.
If citations are from a newspaper where no author is indicated, the following basic order of
elements is used:
• Title of the material or article (in lower/sentence case).
• Year and date (in brackets).
• Title of newspaper (in italics and title case).
• Page number.
Baroness praises paramedic course. (1999, May 26). Welwyn and Hatfield Times, p.7.
Hawking, S.W. (1994). A Brief History of Time. [CD-ROM]. London: Crunch Media.
However only the secondary source should appear in the reference list.
Thomas, S. (1990). Drugs and their actions. London: The Pharmaceutical Press.
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References
American Psychological Association. (2010). Publication manual of the American
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