ObjectivesThe aim of this study was to describe fear-avoidance beliefs about physical activity and explore how these beliefs correlate with sociodemographic, disease-specific, and psychosocial factors in adults with rheumatoid arthritis (RA).MethodThis cross-sectional study is part of the Physical Activity in Rheumatoid Arthritis (PARA) 2010 study. The study participants (n = 2351) were identified through the Swedish Rheumatology Quality (SRQ) registries from six rheumatology clinics in Sweden. Univariate and backwards stepwise logistic regressions were performed.ResultsStepwise logistic regressions showed that male gender [odds ratio (OR) 1.55, 95% confidence interval (CI) 1.26–1.91] and having a below average income (OR 1.35, 95% CI 1.12–1.63) were associated with an increased risk of high scores on the modified Fear Avoidance-Belief Questionnaire (mFABQ). The two disease-specific factors most indicative of high mFABQ scores were high level of pain (OR 1.99, 95% CI 1.40–2.84) and poor health (OR 1.59, 95% CI 1.10–2.29). With regard to psychosocial factors, low health-related quality of life (HRQoL; OR 0.44, 95% CI 0.35–0.55) and a low score on the Exercise Self-Efficacy Scale (ESES; OR 0.66, 95% CI 0.52–0.82) were significantly associated with a high mFABQ score. The model fit was 0.27 (Nagelkerke's R2).ConclusionsHigh fear-avoidance beliefs about physical activity in patients with RA were found to be associated with being male and having a below average income, a high level of pain, poor health, a low HRQoL, and low ESES score. Additional research is warranted for adults with RA to capture the multiple potential correlates to fear-avoidance beliefs about physical activity.

To the knowledge, this is the first study to use SAQ to examine nurses' safety culture attitudes in Saudi Arabian ICUs. The present findings provide a baseline and further details about Saudi Arabian ICU safety. Study participants represented nine nationalities, indicating the nursing workforce's diversity, which is expected to continue in the future. Such a nursing cultural heterogeneity calls for further studies to examine and evaluate attitudes and values to improve ICU safety culture.

Background: Europe has the largest number of children and adolescents with type 1 diabetes mellitus, 286,000 in total. One major goal in diabetes care is to minimise the risk of complications among patients by glycaemic control, medical check-ups and education to support patients’ self-management and quality of life. The aim of the current study was designed to explore young adults’ with type 1 diabetes and their motivation for self-care.Methods: The present study had a qualitative design with a descriptive approach. A purposeful sample of eight (n = 8) young adults with type 1 diabetes and HbA1c > 70 mmol/mol were interviewed. A semi-structured interview with four open-ended questions was chosen as the method. The interviews were analysed using qualitative content analysis.Results: The results revealed factors both promoting and hindering self-care. The first main category was “Factors promoting motivation for self-care” with three sub-categories: (1) feeling safe and getting support, (2) experiencing control over own life, and (3) striving for wellbeing and meaning in life. The second main category was “Factors that hindered motivation for self-care” with two sub-categories: (1) feelings of vulnerability, and (2) feeling excluded.Conclusions: According to the results, motivation increases with positive response. Therefore a positive approach is of utmost importance when young adults come to the clinic for check-ups. Trying to always find something positive is of great significance for motivation and self-care. The focus should be on health and good experiences in life.