This paper discusses the occupational health nurse's dilemmas by illus
trating two cases faced by nurses in occupational health practice and
setting out their analysis according to a decision-making model. The c
ounter-interests, which may offend the principles of conserving profes
sional occupational ethics among service consumers and employers as we
ll as fellow professionals, are emphasized. This paper also describes
the complex problems involved in the worker's safety and the safeguard
ing of their autonomy, while preserving interpersonal relations among
the various people concerned.