{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:18:17Z","timestamp":1792783097326,"version":"4.5.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Mehmet Akif Ersoy University","id":[{"id":"https:\/\/ror.org\/04xk0dc21","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Relig Health"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Kidney transplant failure and the subsequent return to dialysis constitute a profound biographical disruption that extends beyond physical decline to encompass existential and spiritual challenges. While the impact of graft failure on quality of life has been documented, less is known about how individuals draw on spiritual and religious resources to make sense of this transition. This qualitative study explores how patients reconstruct quality of life following kidney transplant failure, with particular attention to spiritual coping and meaning-making processes. Using a descriptive qualitative design, semi-structured interviews were conducted with 21 adults receiving hemodialysis or peritoneal dialysis after transplant failure in T\u00fcrkiye. Data were analyzed using reflexive thematic analysis following Braun and Clarke\u2019s approach. Analysis revealed four interrelated themes. Participants described intense emotional distress, uncertainty, and loss. Spirituality functioned both as a source of comfort and as a means of reconstructing meaning, enabling participants to reframe suffering, sustain hope, and renegotiate their sense of self and future. Social and familial support further reinforced these processes. The findings suggest that quality of life after transplant failure is shaped not only by physical and psychosocial factors but also by spiritual beliefs and practices. Integrating spiritual care into clinical settings may enhance holistic, multidisciplinary support for patients undergoing this challenging transition.<\/jats:p>","DOI":"10.1007\/s10943-026-02707-1","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T17:20:32Z","timestamp":1782321632000},"page":"5034-5048","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Faith, Meaning, and Life After Kidney Transplant Failure in T\u00fcrkiye: A Qualitative Study of Spiritual Coping and Adjustment to Dialysis"],"prefix":"10.1007","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2372-4418","authenticated-orcid":false,"given":"Deniz","family":"Tasdemir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6423-6010","authenticated-orcid":false,"given":"Hatice","family":"Ceylan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"issue":"2","key":"2707_CR1","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77\u2013101. https:\/\/doi.org\/10.1191\/1478088706qp063oa","journal-title":"Qualitative Research in Psychology"},{"issue":"2","key":"2707_CR2","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1590\/0034-7167-2018-0051","volume":"72","author":"AM Bravin","year":"2019","unstructured":"Bravin, A. M., Trettene, A. S., Andrade, L. G. M., & Popim, R. C. (2019). Benefits of spirituality and\/or religiosity in patients with chronic kidney disease: An integrative review. Revista Brasileira De Enfermagem, 72(2), 541\u2013551. https:\/\/doi.org\/10.1590\/0034-7167-2018-0051","journal-title":"Revista Brasileira De Enfermagem"},{"issue":"1","key":"2707_CR3","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s12882-025-03952-4","volume":"26","author":"MA Elias","year":"2025","unstructured":"Elias, M. A., Damme, W. V., Ku, G. M., Kadammanavar, M., & Wouters, E. (2025). Lived experiences of people with chronic kidney disease on maintenance dialysis: A systematic review and thematic synthesis of qualitative studies. BMC Nephrology, 26(1), 22. https:\/\/doi.org\/10.1186\/s12882-025-03952-4","journal-title":"BMC Nephrology"},{"issue":"4","key":"2707_CR4","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1108\/QRJ-08-2022-0116","volume":"23","author":"OC Enworo","year":"2023","unstructured":"Enworo, O. C. (2023). Application of Guba and Lincoln\u2019s parallel criteria to assess trustworthiness of qualitative research on indigenous social protection systems. Qualitative Research Journal, 23(4), 372\u2013384. https:\/\/doi.org\/10.1108\/QRJ-08-2022-0116","journal-title":"Qualitative Research Journal"},{"key":"2707_CR5","doi-asserted-by":"publisher","DOI":"10.1016\/j.trim.2024.102080","volume":"85","author":"H G\u00fczel","year":"2024","unstructured":"G\u00fczel, H., Ovayolu, \u00d6., Ovayolu, N., & Ilter, S. M. (2024). The relationship between compliance with immunosuppressive therapy and religious attitudes of kidney transplant patients. Transplant Immunology, 85, Article 102080. https:\/\/doi.org\/10.1016\/j.trim.2024.102080","journal-title":"Transplant Immunology"},{"issue":"1","key":"2707_CR6","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1007\/s40620-021-01098-8","volume":"35","author":"MS Hansen","year":"2021","unstructured":"Hansen, M. S., Tesfaye, W., Sewlal, B., Mehta, B., Sud, K., Kairaitis, L., Tarafdar, S., Chau, K., Zaidi, S. T. R., & Castelino, R. L. (2021). Psychosocial factors affecting patients with end-stage kidney disease and the impact of the social worker. 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Participants were assured of confidentiality, voluntary participation, and the right to withdraw from the study at any time without penalty.","order":3,"name":"Ethics","label":"Informed Consent","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have obtained written informed consent to publish.","order":4,"name":"Ethics","label":"Consent for Publication","group":{"name":"EthicsHeading","label":"Declarations"}}]}}