Narrative and structured nursing notes are two different approaches to documenting patient care. The main difference between narrative and structured nursing notes is the level of detail and the amount of standardization they provide. Narrative notes allow nurses to provide a more detailed and comprehensive account of a patient's condition, while structured notes offer a more standardized and consistent approach to documenting patient care.   Narrative nursing notes are written in a free-text format and are more detailed and descriptive. Narrative notes often include personal information, such as the patient's complaints, and objective information, such as vital signs and lab results. Narrative notes may also have the nurse's interpretation of the patient's condition and their assessments, interventions, and response to treatment.   Structured nursing notes follow a pre-designed template or format and are more standardized. Structured notes typically use checkboxes, drop-down menus, and other pre-defined fields to document specific information, such as vital signs, medications, and interventions. Structured notes may also include standardized scales and scoring systems to record a patient's pain level, level of consciousness, or other clinical indicators.