Compassion is critical to the provision of high-quality healthcare and is foregrounded internationally as an issue of contemporary concern. Paid care experience prior to nurse training has been suggested as a potential means of improving compassion, which has been characterised by the values and behaviours of care, compassion, competence, communication, courage, and commitment. There is however a dearth of evidence to support the effectiveness of prior care experience as a means of improving compassion in nursing. To explore the impact of paid prior care experience on the values and behaviours of pre-registration nursing students indicated as characterising compassionate care. Longitudinal mixed methods design employing a modified concurrent triangulation strategy, comprising two work packages. Work package 1 was qualitative, and work package 2 adopted a concurrent embedded strategy with a dominant quantitative component. Research is reported in accordance with the Good Reporting of a Mixed Methods Study framework. Three United Kingdom universities. Pre-registration nursing students attending one of three universities, and individuals who had previously participated in a Health Education England paid prior care experience pilot. Participant numbers at time point 1 were questionnaires n = 220, telephone interviews n = 10, and focus groups n = 8. Work package 1 consisted of longitudinal semi-structured telephone interviews. Work package 2 comprised validated online questionnaires measuring emotional intelligence, compassion satisfaction and fatigue, resilience, psychological empowerment, and career commitment (as proxies of compassionate values and behaviours), and focus groups. Qualitative data were thematically analysed. Quantitative data were analysed via Analysis of Variance in SPSS v 26. Qualitative findings suggest that prior care experience has both positive and negative effects on students' compassionate values and behaviours, however positive effects do not extend to qualification. No statistically significant differences were found in any of the quantitative outcome measures between participants with and without paid prior care experience. A statistically significant increase in compassion fatigue was identified in both groups of participants post-qualification. Paid prior care experience did not prevent participants from experiencing reality shock on becoming a student or on qualification. There is insufficient evidence of longitudinal beneficial impact to recommend paid prior care experience as an effective intervention to foster nursing students' compassionate values and behaviours. These findings do not support mandating a period of paid care experience as a prerequisite for entry into nurse education. N/A.

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先前护理经历对护生同情心价值观和行为的影响：一项混合方法研究

同情心对于提供高质量的医疗保健至关重要，并且在国际上已成为当代关注的问题。护士培训之前的付费护理经验被认为是提高同情心的潜在手段，其特点是护理、同情心、能力、沟通、勇气和承诺的价值观和行为。然而，缺乏证据支持先前护理经验作为提高护理同情心的一种手段的有效性。探讨付费先前护理经验对预注册护生的价值观和行为的影响，这些价值观和行为被认为是富有同情心的护理特征。纵向混合方法设计采用改进的并发三角测量策略，包括两个工作包。工作包 1 是定性的，工作包 2 采用了具有主导定量成分的并行嵌入策略。研究报告是根据混合方法研究框架的良好报告进行的。三所英国大学。就读三所大学之一的预注册护理学生，以及之前参加过英国健康教育付费先前护理经验试点的个人。时间点 1 的参与者人数为问卷 n = 220、电话访谈 n = 10 和焦点小组 n = 8。工作包 1 包括纵向半结构化电话访谈。工作包 2 包括经过验证的在线调查问卷，用于衡量情商、同情心满意度和疲劳、复原力、心理赋权和职业承诺（作为同情心价值观和行为的代表）以及焦点小组。对定性数据进行了主题分析。通过 SPSS v 26 中的方差分析对定量数据进行分析。定性研究结果表明，先前的护理经验对学生的同情心价值观和行为既有积极影响，也有消极影响，但积极影响不会延伸到资格。有或没有付费护理经验的参与者之间的任何定量结果测量均未发现统计学上的显着差异。在获得资格后，两组参与者的同情心疲劳程度均出现了统计上显着的增加。付费先前护理经验并不能阻止参与者在成为学生或取得资格时经历现实冲击。没有足够的证据表明纵向有益影响可以推荐付费先前护理经验作为培养护生富有同情心的价值观和行为的有效干预措施。这些发现并不支持将一段时期的有偿护理经验作为进入护士教育的先决条件。不适用。