A postal survey was conducted among 200 Finnish occupational physician
s and nurses on their ethical values and problems. Both groups conside
red 'expertise' and 'confidentiality' as the most important core value
s of occupational health services (OHS) corresponding with newly publi
shed national ethical guidelines for occupational physicians and nurse
s in Finland. Nearly all respondents had encountered ethically problem
atic situations in their work, but ethical problems with gene testing
in the near future were not considered likely to occur. Only 41% of th
e nurses and 36% of the physicians had received some training in the e
thics of OHS, and 76% of all respondents never used available ethical
guidelines. According to the results, even if ethics play a vital role
in OHS, the ability to critically evaluate one's own performance seem
s quite limited. This creates a need for further training and more pra
cticable national guidelines.