Professionalism in correctional nursing is not an abstract concept—it is lived out in daily practice. From how a nurse responds to custody pressure, to how care is documented, professionalism shapes patient outcomes and reinforces the credibility of correctional nursing as a specialty. Each encounter with a patient, every interaction with custody staff, and all documentation in the medical record become opportunities to uphold the standards of the profession and reinforce the nurse’s role as a healthcare professional.

Clinical judgment is a key expression of professionalism. Correctional nurses apply accepted standards of care consistently, regardless of a patient’s background, charges, or behavior. Whether caring for an individual with a long history of chronic illness or someone presenting for the first time with vague symptoms, the professional nurse evaluates each situation objectively, ensuring that care is guided by evidence-based practice rather than personal bias.

Advocacy is another vital part of professionalism in daily practice. Correctional nurses may encounter situations where patient needs are at risk—for example, delays in medication delivery due to operational schedules, or a custody decision that inadvertently compromises access to healthcare. Professionalism requires speaking up respectfully and persistently to protect the patient’s right to appropriate care, even if doing so is unpopular or inconvenient.

Clear and respectful communication further demonstrates professionalism. In the correctional environment, where mistrust can easily escalate tensions, nurses model professionalism by using language that is calm, respectful, and clinically precise. This applies equally to interactions with patients, who may be fearful or resistant, and with custody staff, who may prioritize security over health needs. Professional communication builds trust, reduces conflict, and promotes collaboration across disciplines.

Finally, documentation is one of the most tangible expressions of professionalism. Maintaining accurate, objective, and thorough records not only supports continuity of care but also reflects ethical nursing practice. In correctional settings, where records may be scrutinized by courts or outside agencies, precise documentation serves as a safeguard for both patients and providers, reinforcing accountability and transparency.

In these ways—through sound clinical judgment, strong advocacy, respectful communication, and accurate documentation—correctional nurses demonstrate professionalism every day. These daily practices uphold the integrity of the profession and ensure that patients behind the wall receive safe, ethical, and competent care.

During medication administration, a custody officer urges a nurse to “skip” a person who is refusing meds because “he always does this.” A professional nurse pauses, assesses the patient, provides patient education,  and documents the refusal.  Ultimately, she also notifies the provider if refusals persist. The nurse resists pressure to cut corners and demonstrates professionalism by aligning action with standards.

Think about the last time you were pressured to take a shortcut. How did you respond, and how did your actions reflect your professionalism?