Central Metatarsalgia and Walking on Pebbles: Beyond Morton Neuroma.

Objective: Central metatarsalgia relates to abnormalities of the second, third, and fourth metatarsals and their respective metatarsophalangeal joints. A variety of disorders present with central forefoot pain; they range from traumatic lesions (acute or chronic repetitive), inflammatory and infective disorders, nonneoplastic soft-tissue lesions, and benign tumors to malignant lesions. Patients often present with symptoms of localized pain in the forefoot that worsens on weight bearing (walking or running), which can be sharp or dull and often is perceived as a lump felt inside or underneath the foot and described as walking on a marble or pebbles.

A primer on the politics of partnership between education and regulation.

Too often there is a separation between education and regulation, as functions appear different, yet are truly complementary. Described is an exemplar of a successful education-regulation partnership that advanced the development of an innovation, the dedicated education unit. The work of building relationships, communication, mutual need and goal setting, and trust building are described in the context of innovation within a regulatory environment that can lead to empowerment and change.

The policy and politics of emerging academic-service partnerships.

The type of traditional relationships and behaviors of academe and service no longer match the needs of an emerging and reforming health care system. Rather, the relationships required for the evolving health care system involve a cooperative and collaborative partnership. Models of the "Traditional Professional Nurse Career Trajectory" and the "Shared, Career-long Professional Nurse Formation" are contrasted.

Clinical faculty development: using simulation to demonstrate and practice clinical teaching.

Students spend more time in clinical settings with smaller student-to-faculty learning ratios than in the didactic setting, yet many clinical faculty have had little exposure to evidence-based teaching strategies and learning theories. Orientation for newly employed clinical faculty, whether novices or experienced teachers, typically focuses on the details of running the clinical experience and not on teaching and learning. Multiple barriers for clinical faculty limit the ability to provide consistent and comprehensive education.

Perceptions of tenured nursing faculty related to decision-making for community service.

Motivation for this study arose from the authors' commitment to community service and the perceived dissonance related to service in the tripartite faculty role. The purpose of this study was to understand perceptions related to the decision-making process of tenured nursing faculty in response to requests for community service. Qualitative methodology using in-depth interviews that were transcribed verbatim and analyzed for themes was used.

Sowing the seeds for sustainable change: a community-based participatory research partnership for health promotion in Indiana, USA and its aftermath.

Community-based participatory research (CBPR) increasingly is being used in both developed and developing countries to study and address community-identified issues through a collaborative and empowering action-oriented process. In 2003-2005, a study was undertaken to document the impacts of CBPR on healthy public policy in the US. From an initial review of 80 partnership efforts, 10 were selected as best capturing the range and diversity of projects meeting the study criteria, and were the subject of in-depth case study analysis.

Teaching emergency preparedness to restricted-budget families.

Objective: To fulfill the health teaching and promotion responsibilities of public health nurses, a teaching intervention was devised to prepare low-income, low-resource families to survive a worst-case disaster scenario. The purpose of this study is to introduce that plan.

Design: Teaching sessions were held to increase awareness about disaster preparedness and to provide the resources necessary for preparing disaster kits on a restricted budget.

Cultural competence immersion experiences: public health among the Navajo.

Holistic nursing practice requires cultural competence. The author describes a cultural immersion experience involving public health among the Navajo as having four components: inspiration, preparation, immersion, and reentry. Such experiences require faculty with requisite attitudes and abilities, as well as a supportive academic environment to nurture this student learning opportunity.