
Essential Law and Ethics in Nursing
Patients, Rights and Decision-Making
Paul Buka(Author)
Routledge (Publisher)
4th Edition
Will be published approx. on 5. February 2026
Book
Paperback/Softback
224 pages
978-1-032-94363-3 (ISBN)
Description
The fourth edition of this key text lays a solid foundation for understanding the intersection of law, ethics and the rights of the patient in the context of everyday nursing and healthcare practice. Outlining the key legal and ethical principles relevant to nurses, Essential Law and Ethics in Nursing uses an easy-to-read style that conveys key principles in an accessible way.
This new edition provides a clear understanding not only of basic legal provisions in healthcare but also of wider issues relating to human rights; * includes expanded coverage of patient safety and 'do no harm', mental health, inclusion and the use of artificial intelligence; * covers topics such as ethical decision-making, the regulation of nursing, confidentiality, laws concerning human rights, safe practice, vulnerable people, elder abuse and employment regulations; and * features a range of pedagogical features to aid learning, such as thinking points, case studies, and boxed relevant case law to help link theory with practice.
This is essential reading for nurses and an important reference for midwives and allied health professionals.
This new edition provides a clear understanding not only of basic legal provisions in healthcare but also of wider issues relating to human rights; * includes expanded coverage of patient safety and 'do no harm', mental health, inclusion and the use of artificial intelligence; * covers topics such as ethical decision-making, the regulation of nursing, confidentiality, laws concerning human rights, safe practice, vulnerable people, elder abuse and employment regulations; and * features a range of pedagogical features to aid learning, such as thinking points, case studies, and boxed relevant case law to help link theory with practice.
This is essential reading for nurses and an important reference for midwives and allied health professionals.
Reviews / Votes
'Florence Nightingale certainly possessed foresight regarding the contemporary marriage between law and healthcare systems when she recognized the strange but indispensable principle that hospitals should do no harm to sick people. In this book, Paul Buka tackles such tension with clarity and depth...At its outset, Buka's framework promises exposure to the most essential content, including ethical decision making, confidentiality, laws concerning older people, fraud and abuse, and employment regulations. This practical guide does not fall short of its aim, mastering harmonies of literary prose and technical legalese, current and historic law, and more impressive, didactic and problem-based learning. Such judicious integration leaves the reader - regardless of role as nurse, attorney, student, teacher, or curious patient - informed and empowered.'
Catrina Sparacio, the College of New Jersey and Princeton University Medical Center, Princeton, NJ, USA
'In today's increasingly complex healthcare environment, the intersection of law, ethics, and nursing practice has never been more important. As nurses, we are not only caregivers but also advocates, educators, and ethical decision-makers. This fourth edition of Essential Law and Ethics in Nursing: Patients' Rights and Decision-Making offers timely guidance and clarity on the legal and moral responsibilities that underpin modern nursing. It also includes an update on the use of AI and ethics in health care.
Healthcare is evolving rapidly, and with it, the expectations placed upon nursing professionals. This book equips readers with the tools to navigate legal frameworks, respect patient autonomy, and uphold ethical principles in day-to-day practice. It thoughtfully tackles real-world dilemmas and promotes critical thinking in complex situations.
Whether you're a student preparing for practice, or a clinician reflecting on your role, this edition is an essential companion. It empowers nurses to act with confidence, compassion, and integrity. Each chapter has case scenarios and learning points to work through. This allows an engagement with its chapters and deepens your understanding and strengthens your commitment to ethical, patient-centred care.'
Clive Tobutt RN, PhD, MSc, PGDip (Ed.), PG Dip (Addict. Behav.), FHEA, Lecturer, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London
'It is refreshing to see an up-to-date publication in healthcare law and ethics. While an historic concept that remains true today, some evolving thoughts incorporating the changing state of society nationally and globally is refreshing. Human life and rights are not taken for granted and care of the vulnerable in this context is vitally important. End-of-life care is particularly evolving with changes to policy and the ethical dilemmas therein. Whatever side of the debate you sit this is an important and invaluable discussion presented sensitively and transparently.
This is a worthwhile read for new learners, early career, or seasoned healthcare professionals. Whether there is a new or historical interest in legal and ethical issues in health and social care, this is a good read'
Cheyne Truman, BSc RN (Adult), FHEA, Lecturer/Programme Lead Adult Nursing, School of Health & Social Care, University of Essex, UK
'In health care, patient -professional encounters are underpinned by relationship mediated by a multitude of factors that determine the quality of care delivered and received. Care delivery is contextualised in evidence informed clinical practice and ethical and legal frameworks for clinical significance and personal health outcomes. Governed by professional standards as embedded regulatory codes and legal frameworks place the safety of patients at the very heart of professional responsibility and accountability. Thus, ethical and legal frameworks seen from an integrated perspective provide overarching concepts, principles and exemplars to guide safe practice with integrity.
The fourth edition of this practice-oriented and inspirational book adds to legal and ethical knowledge crucial to decision-making processes in professional practice in the fields of health care, social work, medicine, and legal practice. Notable new learning materials have been included to reflect the significant needs of professions to include and assimilate the diverse perspectives informing critical approaches to ensure applied and evaluative practice. Written in language that is accessible, objective, and formal in tone, the chapters are set out under titles that focus on researched content with illustrated examples of case laws, points for discussion and reflection, encouraging the reader to seek and gain knowledge and skills in critical reasoning and proficiency. Each chapter focuses on a specific topic and 'scaffolding' provides the necessary links for integration and direction in learning.
My interactive experiences when using previous editions of this book as a main resource in teaching undergraduate and postgraduate international students in public health and nursing, and review of this new edition persuades me to strongly recommend this book to everyone whose practice values ethical and legal standards for safe service delivery.'
Dave Sookhoo, RN, BA, MEd, PhD, Associate Lecturer, University of Sunderland in London, and the Open University, UK
'This is a well-written-book, suitable for students and qualified healthcare professionals who wish to enhance their knowledge and understanding of ethics in health care. Complexities of law and ethics applied to health care context are explored in a way that readers will easily understand. I strongly recommend it'
Ganapathy Ganesalingam, RGN, BSc, PG Dip, MSc, FHEA, RPA, Senior Lecturer in Adult Nursing/ Programme Leader Associate Student Health and Social Care, University of Greenwich
More details
Edition
4th edition
Language
English
Place of publication
London
United Kingdom
Publishing group
Taylor & Francis Ltd
Target group
College/higher education
Postgraduate, Undergraduate Advanced, and Undergraduate Core
Dimensions
Height: 244 mm
Width: 170 mm
Thickness: 14 mm
Weight
448 gr
ISBN-13
978-1-032-94363-3 (9781032943633)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Classification
Other editions
Additional editions

E-Book
02/2026
4th Edition
Routledge
€55.49
Available for download

Book
approx. 02/2026
4th Edition
Routledge
€211.50
Not yet published

E-Book
02/2026
4th Edition
Routledge
€55.49
Available for download
Previous edition

Book
07/2020
3rd Edition
Routledge
€42.50
Shipment within 15-20 days
Person
Paul Buka, MSc (Criminal Justice and Criminology), PGCE, LLB (Hons) Law, HNC, RGN, RNT, (FETC (City & Guilds, 7307), HNC, Public Admin (Constitutional and Admin law), MIHSCM, FHEA, Member of the Institute of Medical Ethics ENB 998, ENB 923. He is a visiting Lecturer at the University of Essex. He specialises in Healthcare Law and Ethics, with several publications (since 1999). He trained as a Registered General Nurse in Scotland, specialising in Trauma and Orthopaedics, and gained substantial experience as a clinician and academic, programme leader and senior lecturer, at (the University of West London) for 12 years.
He read law from HNC, degree to master's levels, with specialist interests in Criminal Justice, Jurisprudence, Human Rights and Mental Health Law, and training and working experience in Health and Safety law as a (Union) health and safety representative in Clinical Practice and HE. Overall, he gained 24 years' experience in Education having started his academic career, teaching Law at A- level and the former ILEX diploma programmes. He also served as a lay committee member for a Department of Health Regional Advisory Committee on Clinical Excellence Awards (ACCEA) for seven years.
He read law from HNC, degree to master's levels, with specialist interests in Criminal Justice, Jurisprudence, Human Rights and Mental Health Law, and training and working experience in Health and Safety law as a (Union) health and safety representative in Clinical Practice and HE. Overall, he gained 24 years' experience in Education having started his academic career, teaching Law at A- level and the former ILEX diploma programmes. He also served as a lay committee member for a Department of Health Regional Advisory Committee on Clinical Excellence Awards (ACCEA) for seven years.
Content
1. An introduction to ethics in healthcare, 2. A legal framework for healthcare, 3. First, do no harm, safety implications, 4. Beginnings of human life to adulthood, 5. Information, governance and artifiical intelligence, 6. Consent to treatment, respect for autonomy, 7. Vulnerable people, advocacy and safeguarding, 8. Equality, diversity and inclusion in healthcare, 9. End-of-life care, ethical and legal implications, 10. Final reflection