Aim
To report an analysis of the concept of food insecurity, in order to 1) propose
a theoretical model of food insecurity useful to nursing and 2) discuss its implications
for nursing practice, nursing research, and health promotion.
Background
Forty eight million Americans are food insecure. As food insecurity is
associated with multiple negative health effects, nursing intervention is warranted.
Design
Concept Analysis
Data sources
A literature search was conducted in May 2014 in Scopus and MEDLINE using the
exploded term “food insecur*.” No year limit was placed.
Government websites and popular media were searched to ensure a full understanding of
the concept.
Review Methods
Iterative analysis, using the Walker and Avant method
Results
Food insecurity is defined by uncertain ability or inability to procure food,
inability to procure enough food, being unable to live a healthy life, and feeling
unsatisfied. A proposed theoretical model of food insecurity, adapted from the
Socio-Ecological Model, identifies three layers of food insecurity (individual,
community, society), with potential for nursing impact at each level.
Conclusion
Nurses must work to fight food insecurity. There exists a potential for nursing
impact that is currently unrealized. Nursing impact can be guided by a new conceptual
model, Food Insecurity within the Nursing Paradigm.