The number of incarcerated persons in the United States has been increasing
dramatically over the last two decades. Incarcerated men and women have in
creased rates of serious and chronic physical and mental illnesses and ther
efore require substantial health care efforts. Caring for prisoners is a di
fficult and often unrewarding experience for health care providers, particu
larly within a social climate that encourages noncaring behaviors. This art
icle critically analyzes three philosophic stances toward nursing care with
prisoners and suggests their philosophic commensurability within tradition
al nursing practice. Implications for nursing practice, research, and educa
tion are discussed.