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Table 3 The N-Catch scores of accuracy of documentation in the psychiatric nursing record

From: Assessment of quality in psychiatric nursing documentation – a clinical audit

Element of the N-Catch Scale Score, mean (95% CI) N Score 3 n (%) Score 2 n (%) Score 1 n (%) Score 0 n (%)
  Quantity Quality       
Record structure 0 – 3   2.7 (2.54 – 2.89) 21 15 (71) 6 (29) 0 0
The patient’s personal details 0 – 2   2.0 21 0 21(100) 0 0
Admission note 0 – 3   0.9 (0.45 – 1.35) 201 2 (10) 4 (20) 4 (20) 10 (50)
Admission note   0 - 3 1.3 (0.86 – 1.64) 201 1 (5) 8 (40) 6 (30) 5(25)
Nursing care plan 0 – 3   1.7 (0.78 – 2.14) 21 6 (28,5) 6 (28,5) 5 (24) 4 (19)
Nursing diagnoses   0 - 3 1.5 (1.01 – 1.95) 21 4 (19) 3 (38) 3 (14) 6 (29)
Nursing outcomes   0 - 3 0.8 (0.29 – 1.23) 21 3 (14) 2 (10) 3 (14) 13 (62)
Nursing interventions   0 - 3 1.2 (0.86 – 1.52) 21 5 (14) 6 (28) 10 (48) 4 (19)
Progress report 0 – 3   0.2 (−0.02 – 0.42) 21 0 1 (5) 2 (9) 18 (86)
Progress report   0 - 3 1.4 (1.11 – 1.66) 21 0 10 (48) 9 (43) 2 (9)
Discharge note   0 - 3 1.7 (1.24 – 2.10) 182 3 (16,7) 8 (50) 3 (16,5) 3(16,7)
  1. 11/21 records had no admission note. The N-Catch had no scoring options for this eventuality.
  2. 23/21 records had no discharge note. The N-Catch had no scoring options for this eventuality.