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The Scope of Inclusion of Academic Medical Center Conflict of Interest Policies Coalition

WSU Vancouver – $2,480
5/16/15 – 5/15/16

Upcoming projects include The Scope of Inclusion for Academic Medical Center Conflict of Interest Policies (WSUV Mini-Grant, 2015), which will examine whether academic conflict of interest policies developed for physician/pharmaceutical industry relationships extend to other prescribers, students, preceptors, and affiliate faculty.


Purpose: The purpose of the proposed study is to analyze whether institutions with academic medical centers training physicians and nurse prescribers a) have conflict of interest policies specific to pharmaceutical industry relationships and b) if present, whether such policies extend to nurse prescriber students, faculty, preceptors, clinical sites and other personnel involved with educating nurse prescribers and c) explore characteristics associated with presence of nurse prescribers in academic policies.

Hypothesis: 1) It is hypothesized that nurse prescribers will be absent from a majority of academic conflict of interest policies that apply to physician training, employment, or clinical practice in academic medical institutions which also educate nurses. 2) It is hypothesized that clinical preceptors and non-clinical researchers will be absent from conflict of interest policies 3) It is hypothesized that presence of policies specific to pharmaceutical conflicts of interest which include nurse prescribers will be positively associated with presence of pharmacist training programs, presence of certified registered nurse anesthetist programs and presence of PhD nursing programs.

Sample: A list of AACN nursing programs will be compared with AAMC programs to identify eligible participants. A mailed survey will be distributed to all nursing program directors/deans of programs meeting the following criteria: presence of accredited graduate nursing programs which prepare nurse prescribers (Clinical Nurse Specialist, Certified Nurse Midwife, Certified Registered Nurse Anesthetist, or Nurse Practitioner) in academic medical institutions which also train physicians (estimated sample size=75). Non-responders will be mailed a second survey, with the final contact by postcard containing a reminder. The survey instrument includes 10 elements with multiple responses (see Appendix A). Respondents will be asked to provide limited demographic information regarding their institution as well as a copy or link to the institutional policy to confirm survey responses.

Analysis of responses: Study results will be analyzed by program type and professional training availability, presence or absence of conflict of interest policies, presence or absence of nurse inclusion, type of nurse inclusion, application of policies to faculty and affiliate/adjunct faculty as well as clinical and non clinical practices and research, program geographic region and enrollment data using chi-squared and descriptive statistics. Principle component analysis will be used to further identify component variables that can be subjected to modified regression if sampling response is robust. Confirmation of sample responses will be matched with sample copies of academic policies provided in the survey.

Primary Investigator

Tracy Klein
Tracy Klein, PhD