Patient Navigator
By suggesting that patient navigators "have direct knowledge of the communities they serve," the Patient Navigator act presumes that patient navigators are culturally competent. Indeed, social workers have an ethical responsibility to demonstrate cultural competence. Social workers also have an ethical responsibility to promote patient self-determination. Patient self-determination is an issue that is largely absent from the public discussion about patient navigation, but it is a critical issue in practice. On the one hand, patient navigators are charged with helping patients obtain services. Moreover, their success is measured by the number of individuals who receive treatment. On the other hand, patients must be afforded the respect to make a final determination regarding their individual welfare. Social workers are well trained to balance these dual objectives. Patient navigators will routinely encounter private and confidential information; social workers have an obligation to respect patients' privacy and to protect the confidentiality of information obtained from them. Social work's ethical standards provide clear guidelines about proper conduct with protected information. In the absence of a professional