title: Nurse prescribers' interactions with and perceptions of pharmaceutical sales representatives.
abstract: OBJECTIVE
  The aim of our study was to investigate the perceptions of pharmaceutical sales representatives by nurse prescribers.
  
  
  BACKGROUND
  Nurses with advanced training have earned prescriptive authority in North America, Europe and other parts of the world. These nurses are being increasingly targeted by pharmaceutical sales representatives. There is a paucity of data regarding nurses' perceptions of pharmaceutical sales representatives.
  
  
  METHODS
  Survey.
  
  
  METHODS
  A convenience sample of nurse prescribers was recruited to complete an Internet questionnaire about their interactions with and perceptions of sales representatives. The data were collected over one month ending in January 2007. There were 39 survey items ranging from perception-based items assessed by Likert-type scale to open-ended queries. Descriptive statistics were used to summarise the results.
  
  
  RESULTS
  Ninety-two nurses completed this survey, which demonstrated good internal consistency yielding a Cronbach's alpha coefficient of 0.83. Positive perceptions of pharmaceutical representatives included: explaining their products clearly (80.4%) and knowledge about their medications (88.0%). Negative aspects included: lack of consideration of nurses' time (50%) and failure to equally discuss medication strengths and weaknesses (21.8%). Perhaps the most alarming finding was that 35.9% of respondents indicated that sales representatives suggested paybacks for promoting their drugs.
  
  
  CONCLUSIONS
  Nurses with prescriptive authority generally perceive interactions with pharmaceutical sales representatives as positive. However, they also have concerns about the nature and methods of some of their activities. Nations that have nurses with prescribing authority can benefit from observing both the mis-steps and the positive inroads that have already been made by the profession in the USA and other countries.
  
  
  CONCLUSIONS
  Appropriate use of pharmaceutical sales representatives' services may enhance the ability of nurse prescribers to deliver optimal nursing care. Methods, such as counter-detailing may be necessary to maintain an evidence-based approach as the controlling factor.
authors.affiliation: Pharmacy Practice, Nova Southeastern University, College of Pharmacy, West Palm Beach, FL, USA. clauson@nova.edu
authors.forename: Kevin A
authors.initials: KA
authors.lastname: Clauson
authors.forename: Nile M
authors.initials: NM
authors.lastname: Khanfar
authors.forename: Hyla H
authors.initials: HH
authors.lastname: Polen
authors.forename: Florencetta
authors.initials: F
authors.lastname: Gibson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004345:Drug Industry; D011307:Drug Prescriptions; D005260:Female; D006801:Humans; D008297:Male; D008389:Marketing of Health Services; D008875:Middle Aged; D011795:Surveys and Questionnaires