Ethics can sometimes provide moral dilemmas that nurses face when caring for a patient especially if the patient has been diagnosed with an incurable disease whereby the family and their employer do not want it to be disclosed to the patient. In such circumstances the conflict it between ethics and moral dilemma that is enshrined in the NMC (2008) Code of Ethics their role as nurses and moral duty to the patient who wants to know the truth and the patient's health and wellbeing (Benjamin & Curtis, 1992; Edwards, 1996). Thompson et al (2006) stated that ethics and moral cannot work in a vacuum further added that in order to justify moral judgement nurses need prior knowledge of ethical theory. Beauchamp and Childress (2009) added that one needs understanding of moral theory to be able to justify ethical decisions. This demonstrates the extra burden imposed on nurses thereby finding themselves constrained by the difficult responsibilities placed on them to fulfil the NMC (2008) Code of Ethics furthermore those of their employers.
You present a persuasive argument for the abandonment of the 5-paragraph essay and suggest a new format for presenting an argument... However, you did not provide much information on what is expected to go in between your introduction and conclusion? You suggested this format opens the essay to compare/contrast, cause/effect, analysis, etc... but how do you suggest students structure an essay with these approaches in practice? Any piece of writing needs some structure and main ideas that are then supported with various pieces of evidence (whether you are writing a historical thesis or a persuasive essay)... If you are abandoning a "main idea followed by supporting evidence" format, what do you propose should take its place? Or perhaps my understanding of the 5-paragraph essay you are speaking of is incorrect?