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Ethical issues among Finnish occupational physicians and nurses.

K P Martimo1, M Antti-Poika, T Leino

  • 1Research and Development Centre for Occupational Health Services, Finnish Institute of Occupational Health, Helsinki, Finland. Kari-Pekka.Martimo@occuphealth.fi

Occupational Medicine (Oxford, England)
|February 20, 1999
PubMed
Summary

Finnish occupational health professionals value expertise and confidentiality but lack sufficient ethics training and guideline use. Enhancing ethical competence and practical guidelines is crucial for occupational health services (OHS).

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Area of Science:

  • Occupational Health
  • Medical Ethics
  • Healthcare Professional Training

Background:

  • Ethical values and challenges are integral to occupational health services (OHS).
  • Recent national ethical guidelines have been published for Finnish occupational physicians and nurses.
  • Understanding the current ethical landscape among these professionals is essential.

Purpose of the Study:

  • To assess the ethical values and encountered problems of Finnish occupational physicians and nurses.
  • To evaluate the awareness and utilization of existing ethical guidelines and training.
  • To identify needs for improved ethics education and practical guidance in OHS.

Main Methods:

  • A postal survey was distributed to 200 occupational physicians and nurses in Finland.

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  • The survey collected data on core ethical values, experienced ethical problems, and training in OHS ethics.
  • Respondents' use of national ethical guidelines was also assessed.

    • Main Results:

    • 'Expertise' and 'confidentiality' were identified as the most important core values, aligning with national guidelines.
    • Most respondents reported encountering ethically problematic situations, though future gene testing issues were not highly anticipated.
    • A significant gap was found in ethics training, with only 41% of nurses and 36% of physicians receiving any, and 76% never using available guidelines.

    Conclusions:

    • While Finnish occupational health professionals uphold key ethical values, their capacity for self-evaluation appears limited.
    • There is a clear need for enhanced, practical ethics training and more accessible national guidelines in OHS.
    • Addressing these gaps will improve ethical practice and professional development in the field.