{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T22:00:16Z","timestamp":1781647216170,"version":"3.54.5"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T00:00:00Z","timestamp":1775865600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005296","name":"Universit\u00e4tsklinikum Regensburg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005296","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Palliative care aims to address psychosocial needs alongside medical treatment. In inpatient settings, however, organisational constraints may limit opportunities for sustained relational support. Volunteer-based conversation offers represent a potential service-level response to these gaps, yet little is known about how such low-threshold models are implemented and experienced within routine inpatient care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative descriptive interview study explored the experiences of twelve trained volunteer hospice companions involved in a low-threshold conversation offer on two palliative care units in Germany. Semi-structured individual interviews were analysed using qualitative content analysis following Kuckartz, with inductively developed categories and independent double coding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Volunteers described the conversations as a distinct relational care practice grounded in presence, attentiveness and deliberate restraint rather than intervention. Care was enacted through responsiveness to patients\u2019 momentary needs, including respect for silence, refusal and non-verbal interaction. The ward-based interdisciplinary setting and effective symptom control were perceived as key enablers of psychosocial conversations, while the rotating and low-binding format entailed specific emotional and organisational demands, underscoring the importance of supervision and role clarity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Low-threshold, non-prearranged volunteer conversations represent a distinct relational care practice in hospital palliative care. They may support autonomy and dignity through non-imposition and situational responsiveness, and they highlight the ethical responsibility of institutions to provide structural support, supervision and clearly defined roles for volunteers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12913-026-14399-0","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T02:55:03Z","timestamp":1775876103000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Relational care in palliative care units: a qualitative study of low-threshold volunteer hospice conversations"],"prefix":"10.1186","volume":"26","author":[{"given":"Carolina","family":"M\u00fcller","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Authier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Steger-Arand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Braun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Herr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annette","family":"Schnell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Rechenmacher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,11]]},"reference":[{"key":"14399_CR1","unstructured":"World Health Organisation. 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Ethics approval was obtained from the Ethikkommission an der Universit\u00e4t Regensburg (Ethics Committee at the University of Regensburg, Regensburg, Germany; reference no. 24-3751-101; 31 May 2024). Written informed consent was obtained from all participants prior to data collection. Participation was voluntary, and confidentiality and anonymity were ensured throughout data collection, analysis, and reporting.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"527"}}