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Advancing Health Equity in Disaster Response.

Jamla Rizek, Luis E Caso Vega

    Journal of Emergency Nursing
    |March 9, 2026
    PubMed
    Summary

    Emergency nurses can reduce health disparities during disasters by using evidence-based strategies. Implementing these practices ensures equitable and culturally congruent care for vulnerable populations.

    Area of Science:

    • Disaster nursing
    • Health equity
    • Emergency medicine

    Background:

    • Disasters exacerbate existing health disparities, disproportionately impacting marginalized communities.
    • Emergency nurses are crucial first responders in disaster situations.
    • Addressing health inequities is vital for effective disaster response.

    Purpose of the Study:

    • To identify evidence-based strategies for emergency nurses to promote health equity during disaster response.
    • To explore individual and systems-level interventions for equitable disaster care.
    • To highlight the role of emergency nurses in reducing health disparities in crisis situations.

    Main Methods:

    • Literature review of evidence-based strategies in disaster nursing.
    • Analysis of interventions at individual and systems levels.
    Keywords:
    BiasCommunity partnershipCultural humilityDisaster nursing/emergency careHealth equityStructural competency

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  • Examination of the 4S surge capacity model for equitable outcomes.
  • Main Results:

    • Key strategies include equity-focused training, trauma-informed practice, structural competency, and culturally safe approaches.
    • Community partnerships and equity-informed simulation enhance equitable care.
    • The 4S surge capacity model (staff, stuff, structure, systems) supports equitable outcomes.

    Conclusions:

    • Integrating these strategies into disaster preparedness and response is essential.
    • Emergency nurses are pivotal in reducing health disparities and promoting just outcomes for vulnerable groups.
    • Proactive implementation of equity-focused practices strengthens disaster response.