[Clinical nurse specialists: leadership, entrepreneurship and research for healthcare].

Clinical nurse specialists (CNS) are nurses with a Master in Science Nursing degree. CNS key competences include leadership, entrepreneurship and research. Using the Symptom Navi programme as an example, we show the importance of CNSs in developing an innovative project and their leadership role in implementing the programme into practice.

[Advanced nursing practice in Swiss community health. Sharing experiences].

The development of chronic diseases and the aging of the population are increasing the demand for specialized nursing care in both outpatient and inpatient services. In 2019, the Sarine outpatient care service introduced a Clinical Nurse Specialist (CNS) to support the teams and management in systematically analyzing clinical practice. In some nursing homes, the INTERCARE model, developed by Advanced Practice Nurses (APNs), has been implemented.

[Practice of clinical nurse specialists ina hospital setting].

Clinical nurse specialists provide specialized care to individuals with complex health issues, while also supporting healthcare professionals and institutions in delivering evidence-based care. In hospital settings, they work at various levels within the organization: in a ward-based role. in transversal focused on specific issues such as pain management, and in the longitudinal follow-up of patients, ensuring continuity between hospitalization, outpatient care, and home care.

[Nurse practitioner: experience of implementation in primary care].

The growth and continuing evolution of care needs, linked in particular to the aging of the population and the increase in chronic illnesses, have prompted the Canton of Vaud to promote innovative care models and new professional profiles, including recognition of the role of nurse practitioner (NP). Unisanté is actively involved in promoting and integrating this new role, with the support of the canton. A postgraduate training program for primary care NPs is currently being developed, and the opening of an innovative health center has made it possible to establish this role in the primary care medical practice.

[Strengthening primary care in Switzerland: the contribution of nurse practitioners].

Switzerland is facing a growing demand for primary care services. Nurse practitioners (NP) could play a key role in addressing the current challenges in the healthcare system by participating in new models of care. International studies support this approach, showing that nurse practitioners improve access to care, reduce costs, and increase patient satisfaction.

[The role of nurse practitioner at the University hospital of Lausanne].

It is recognized that integrating the role of nurse practitioners (NPs) into new care models can positively impact patient outcomes and the healthcare system. The Canton of Vaud is currently in the initial phase of developing this role. The University Hospital of Lausanne currently employs 15 NPs across various clinical departments, and several initiatives to further develop NP roles are in progress.

[Legal framework for nurse practitioners in the Canton of Vaud].

Nurse practitioners (NPs) have existed internationally for several decades, with scientific literature demonstrating improved access to care, patient safety, and well-being. To address the sociodemographic challenges of public health and the shortage of healthcare professionals, the Canton of Vaud was the first in Switzerland to develop a legal framework that defines the responsibilities and requirements of the NP role in order to integrate them into the healthcare system. The integration of NPs into the hospital setting has shown promising results.

[A case of post-traumatic paracentral acute middle maculopathy associated with glaucoma].

Paracentral acute middle maculopathy is a lesion of the inner nuclear layer and outer plexiform layer of the macula associated with local or systemic vascular diseases that can induce retinal hypoxia. The etiologic mechanism may be related to the increase in intraocular pressure which creates conditions of hypoperfusion in the retinal vasculature. We present a case that shows a possible association between paracentral acute middle maculopathy and glaucoma with the trauma of elevated intraocular pressure as a triggering event.

A comparison of two dynamic assessment situations for detecting development language disorder in monolingual and bilingual children.

Bilingual children's language skills are strongly influenced by exposure to each of their languages, among other linguistic, environmental, and cognitive factors. In the speech and language therapy clinic, it is difficult to disentangle developmental language disorders from insufficient exposure. Dynamic assessment, which directly tests the learning potential of children, offers a promising solution for this dilemma.

[Implementation of nurse practioner role in an emergency department].

The major challenges facing our healthcare system foster the emergence of new inter-professional roles such as the Specialized Nurse Practitioner. These professionals, recognized by a legal framework, hold advanced practice medical and nursing skills obtained after a 120-credit Master's-level university training. In 2018, the Emergency Department (ED) of the Centre Hospitalier Universitaire Vaudois was one of the first departments in Switzerland to implement such a role.

[SGLT2 inhibitors : promises, but for whom ?].

In type 2 diabetes, the launch of gliflozins (or SGLT2i), like each new therapeutic class, is generating a great deal of hope and is being heavily marketed. The pivotal studies show a beneficial effect on the risk of hospitalization for heart failure and, to a lesser extent, on the decline in renal function. The impact on physiological factors (weight, glycated hemoglobin, blood pressure) is modest, and the side-effect profile is relatively heavy, particularly in the elderly (frequent urogenital infections, ketoacidosis, etc.

[Racism in healthcare (part 1) : a health equity issue].

Racism remains a major obstacle in access to quality healthcare. Understanding the concept and definition of racism in healthcare remains unclear for many. This first article in a series on racism in health care, aims to clarify the different forms of racism in health care, their influence on access to health care, and propose measures to limit their influence in the care of racialized groups.

[Solid tumor lysis syndrome: an entity that should not be neglected].

Tumor lysis syndrome is a metabolic emergency resulting from a massive destruction of cancer cells. This is often associated with hematological malignancies, such as non-Hodgkin's lymphoma and acute leukemia, but the incidence tends to increase for solid tumors with the development of oncological treatments. Due to a poor prognosis, it is essential to recognize this syndrome early.

[Mechanical thrombectomy in pulmonary embolism].

Systemic thrombolysis is the first-line treatment for patients with high-risk pulmonary embolism or with haemodynamic deterioration on anticoagulation alone; however, it is associated with a high bleeding risk. Mechanical thrombectomy may significantly reduce right ventricular dysfunction without exposing the patient to systemic bleeding complications. No randomized trials comparing the two treatments are available to date.