Ethical research practice in health and disasters

Research on health and disasters within the social sciences and public health is produced from a wide range of methodological and disciplinary perspectives. Major disaster events continue to highlight the need for health and disaster researchers to further reflect on the procedural and practical aspects of research ethics. We conduct a scoping review and qualitative frame analysis of 76 empirical articles from 2000 onwards, with the aim of uncovering the dominant framings of ‘ethical practice’ within health and disaster literature. The review demonstrates that the literature presents competing framings of risk – namely, a more individualist and biomedical understanding of trauma, and a focus on community-level and contextual aspects of risk, respectively. These competing frames of risk determine how different parts of the field negotiate ethical processes and practices. Additional points of tension are found in the way in which disaster-affected people and places are characterised as (or as not) particularly vulnerable, and the role of formal ethical review committees. This review synthesises proposed solutions from literature to improve both procedural and practical ethics and finds there are continued disagreements surrounding even the most frequently called-for changes. The contrasting framings of ethics problems and solutions within this field indicate the need for consensus around the practical ethics of health and disaster research. Further reflection is warranted for more coherent engagement between this research field and disaster-affected communities.