Related Experiment Video
Updated: Jul 11, 2025
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Characteristics of Advanced Practice Nurses Receiving Top Industry Payments and Their Practice Settings: a
Quinn Grundy1, Fabian Held2, Dana Hart3
1Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada. quinn.grundy@utoronto.ca.
Background:
The pharmaceutical industry promotes prescribing through the cultivation of key opinion leaders. Advanced practice nurses (APNs) are a growing and influential group of prescribers across generalist and specialty practice. Public reporting of industry payments to APNs allows for exploration of their influence within practice settings.
Objective:
To understand the characteristics of APNs with top industry payments including their positions of influence and other payment recipients at the same address.
Design And Setting:
Cross-sectional study of US national Open Payments reports of industry payments made between January 1, 2021, and December 31, 2021.
Participants:
APNs who received > $50,000 USD in industry payments for speaking, consulting, and honoraria ("personal fees").
Measures:
Description of top APN recipients' practice setting type, clinical specialty, presence of other payment recipients, value of payments attributed to the same address, and top manufacturers and therapeutic categories associated with payments to top APN recipients. Structured content analysis of public-facing websites for evidence of APNs' clinical, research, and teaching leadership.
Results:
A total of 99 APNs received > $50,000 USD in aggregate personal fees and a median $74,080 USD (IQR $57,303-101,702) in aggregate payments. They shared a practice setting with a median of 1 (IQR 0-5) physician and 0 (IQR 0-3) other APN payment recipients and were often the only (39%, 42/109) or the dominant (45%, 30/67) payment recipient in their practice setting. In total, 36% held clinical leadership positions, 25% led scientific research, and 18% had university appointments. Forty-two percent (37/88) owned a clinical practice, including cosmetic clinics (51%, 19/37) and mental/behavioral health clinics (24%, 9/37).
Conclusions:
Top APN payment recipients attracted high-value payments in practice settings and specialities associated with high-cost drug development; however, there may be little oversight of APNs' industry relationships. Policy development related to industry relationships must be inclusive of and responsive to the activities of interprofessional providers.
Related Concept Videos
01:22The Professional Nurse
Communication skills: These are critical characteristics, especially speaking and listening.
01:30Current Trends in Nursing II
01:29Professional Values
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
01:21Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
01:30National Nursing Organizations II
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
01:28Current Trends in Nursing I