Evidence map›Paper›PMID 39392645›Full record

ArticleJournal of the American Association of Nurse Practitioners2025

"I never thought of it as payment": Qualitative evaluation of workshops with advanced practice registered nurses on pharmaceutical industry payment reporting.

Quinn Grundy, Nancy Rudner, Tracy Klein, Elissa Ladd, Dana Hart, Meghan MacIsaac, Lisa Bero

Abstract read
In one paragraph

Article in Journal of the American Association of Nurse Practitioners, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Quinn GrundyLawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-7640-8614
Nancy RudnerSchool of Nursing, University of Alabama at Birmingham, Birmingham, Alabama.
Tracy KleinCollege of Nursing, Washington State University, Vancouver, Washington.
Elissa LaddSchool of Nursing, MGH Institute of Health Professions, Boston, Massachusetts.
Dana HartLawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Meghan MacIsaacLawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Lisa BeroCenter for Bioethics and Humanities, University of Colorado School of Medicine, Aurora, Colorado.

Funding

Greenwall Foundation Making a Difference GrantUniversity of Toronto Rosenstadt Research Development Program
6 · The paper itself

Abstract

backgroundWith the expansion of professional autonomy and prescriptive authority of advanced practice registered nurses (APRNs), interactions with industry are under greater scrutiny. As of July 1, 2021, pharmaceutical and medical device companies must publicly report all payments to APRNs through the Centers for Medicare and Medicaid Services' Open Payments website. PURPOSE: To gauge APRNs' familiarity with, and perceptions of the Open Payments database and discuss whether and how APRNs should respond. METHODOLOGY: Virtual workshops consisting of a didactic presentation and interactive exercises with APRNs recruited through professional networks, associations, and conferences. Transcripts were analyzed using a qualitative interpretive approach, grounded in an everyday ethics theoretical framework.

resultsThirty-six APRN clinicians, students, and faculty participated in nine workshops. Seeing sponsored meals reported in Open Payments as "payments" prompted participants to see familiar interactions in a new way. Participants valued the enhanced transparency as a way to identify risks of bias but were concerned that reporting might undermine public trust in APRNs. Emphasizing awareness as a precursor to action, participants desired greater preparation for ensuring independence in practice.

conclusionsThe importance of tackling the ethical issues associated with industry interactions is heightened within the context of an existing climate of distrust within health care. However, many participants were concerned about the effects of transparency on public trust rather than how APRNs individually or collectively can be more trustworthy. IMPLICATIONS: Open Payments can serve as a useful tool to catalyze broader conversations about ethics, integrity in decision making, and health policy advocacy.

Indexed as

Drug IndustryQualitative ResearchAdultAdvanced Practice NursingEducationFemaleHumansNurse PractitionersUnited States

Identifiers

PMID39392645
PMCPMC11665965

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.