title: Mental health nursing students' relationships with the pharmaceutical industry.
abstract: BACKGROUND
  The medical profession's relationship with the pharmaceutical industry (PI) has come under increased scrutiny in recent years, however little is known on the subject in mental health nursing.
  
  
  OBJECTIVE
  The study sought to investigate: (1) the frequency of contact between mental health nursing students and PI employees; (2) students' attitudes and beliefs about their relationship with the PI; (3) the range of 'gifts', promotional items and hospitality accepted or seen in clinical environments by students in a one year period; and (4) students' attitudes to 'gifts', promotional items and hospitality offered by the industry.
  
  
  METHODS
  Employing a survey design, a 35-item questionnaire was distributed to 472 students at two universities in the UK. Data were analysed from 347 respondents by means of descriptive statistics and simple content analysis.
  
  
  RESULTS
  The findings suggest that students have significant contact with the industry through one-to-one meetings with pharmaceutical representatives (PRs) and by attending events giving information on specific drugs or general mental health issues. Students also identified a number of benefits (e.g. receiving "up-to-date" information on new drugs) and problems (e.g. the potential influence exerted on practitioners to use their drugs) arising out of this contact. Most students (79.8%) had accepted some form of 'gift' from the industry but few (11.5%) believed it was unacceptable to do so. The presence of promotional items in the clinical environment was seen as advertising (84.4%) but few students (19.3%) believed clinical environment should be free of these items. Over half (57.1%) of the students believed that PRs did not always give unbiased information but thought that they and mental health nurses in general would be able to detect any bias.
  
  
  CONCLUSIONS
  In parallel with medicine, the study has shown that the pharmaceutical industry has at least the potential to influence mental health nursing students. Within medicine this realisation has triggered a vigorous debate on how medical schools should respond to the promotional activities of the PI. We suggest this study goes some way to demonstrating there is a need for these issues to be debated in the education of mental health nurses.
authors.affiliation: Sheffield Hallam University, Faculty of Health and Wellbeing, Mundella House, Collegiate Crescent, S1 1WB, United Kingdom. r.j.ashmore@shu.ac.uk
authors.forename: Russell
authors.initials: R
authors.lastname: Ashmore
authors.forename: Neil
authors.initials: N
authors.lastname: Carver
authors.forename: David
authors.initials: D
authors.lastname: Banks
mesh_terms: D001291:Attitude of Health Personnel; D015982:Bias; D002983:Clinical Competence; D032781:Codes of Ethics; D016265:Conflict of Interest; D004345:Drug Industry / Q000941:ethics / Q000458:organization & administration*; D004346:Drug Information Services; D004511:Education, Nursing, Graduate / Q000941:ethics / Q000458:organization & administration; D005260:Female; D037921:Gift Giving / Q000941:ethics; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D007400:Interprofessional Relations / Q000941:ethics; D008297:Male; D015404:Nursing Methodology Research; D010565:Persuasive Communication; D011568:Psychiatric Nursing / Q000193:education; D036301:Qualitative Research; D013338:Students, Nursing / Q000523:psychology*; D011795:Surveys and Questionnaires; D006113:United Kingdom