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The study took place in four Polish hospice facilities between 2022 and 2023. Forty-five patients (aged 33\u201394) participated. The interview included open-ended questions about life advice, pride, gratitude, and self-reflection. Analysis revealed that patients\u2019 reflections focused on relationships (29.9%), personal attitudes (27.95%), and the value of life and health (19.2%). Expressions of gratitude and pride correlated with improved well-being, optimism, and life satisfaction. Many respondents highlighted the importance of maintaining health, staying positive, and cherishing relationships. 4You interview questionnaire facilitated personal reflection and reinforced positive self-perceptions. Findings suggest that structured self-reflection can enhance spiritual and emotional well-being, offering valuable insights for palliative care practices.<\/jats:p>","DOI":"10.1177\/00302228261467102","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T14:39:51Z","timestamp":1783348791000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Reflections in the Shadow of Death: Values, Relationships, and the Search for the Meaning in the End-of-Life Care"],"prefix":"10.1177","author":[{"given":"Krzysztof","family":"Sobczak","sequence":"first","affiliation":[{"name":"Medical University of Gdansk"},{"name":"Poznan University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katarzyna","family":"Nowicka-Sauer","sequence":"additional","affiliation":[{"name":"Medical University of Gdansk"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Wysocka","sequence":"additional","affiliation":[{"name":"Medical University of Warsaw"},{"name":"Saint Christopher\u2019s Oncology Hospice Foundation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Orlowska","sequence":"additional","affiliation":[{"name":"Saint Father Pio\u2019s Hospice in Puck"},{"name":"University Clinical Centre in Gdansk"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Falewicz","sequence":"additional","affiliation":[{"name":"University of Szczecin"},{"name":"Bishop Czeslaw Domin\u2019s Caritas Hospice and Care Home"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5148-2324","authenticated-orcid":false,"given":"Weronika","family":"Kaminska-Skrzynska","sequence":"additional","affiliation":[{"name":"Medical University of Gdansk"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-022-07104-4"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-017-0229-5"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.11086"},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1611(199909\/10)8:5<417::AID-PON398>3.0.CO;2-4"},{"key":"e_1_3_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674370404900605"},{"key":"e_1_3_8_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/109662103322654901"},{"key":"e_1_3_8_8_1","doi-asserted-by":"publisher","DOI":"10.1353\/lm.2011.0329"},{"key":"e_1_3_8_9_1","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S453184"},{"key":"e_1_3_8_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2014.0155"},{"key":"e_1_3_8_11_1","doi-asserted-by":"publisher","DOI":"10.1590\/2317-1782\/20192018274"},{"key":"e_1_3_8_12_1","doi-asserted-by":"publisher","DOI":"10.1188\/03.ONF.291-300"},{"key":"e_1_3_8_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.00584"},{"key":"e_1_3_8_14_1","volume-title":"The psychology of happiness","author":"Czapli\u0144ski J.","year":"1992","unstructured":"Czapli\u0144ski J. 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