Adaptation as a reconfiguration of dependence after kidney transplantation: A Roy Adaptation Model-guided qualitative study

Kidney transplantation reduces dependence on dialysis, yet recipients’ adaptation is rarely examined through a theoretical framework. Using Roy's Adaptation Model as a deductive lens and template analysis, this qualitative study explored how 13 recipients in a Brazilian public transplant ward, 11 within 70 days of surgery, described adaptation. Participants reported restored urine output, release from haemodialysis and hopes of paid work, alongside postoperative pain, complications, lost friendships and concern about graft loss. They also described reliance on medication, a distant referral centre, municipal transport and social protection benefits. The accounts support an exploratory proposition: dependence was reconfigured rather than removed.