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Examining the social construction of surveillance: A critical issue for health visitors and public health nurses working with mothers and children

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  • Sue Peckover
  • Megan Aston

Abstract

Aims and objectives To critically examine surveillance practices of health visitors (HV) in the UK and public health nurses (PHNs) in Canada. Background The practice and meaning of surveillance shifts and changes depending on the context and intent of relationships between mothers and HVs or PHNs. Design We present the context and practice of HVs in the UK and PHNs in Canada and provide a comprehensive literature review regarding surveillance of mothers within public health systems. We then present our critique of the meaning and practice of surveillance across different settings. Methods Concepts from Foucault and discourse analysis are used to critically examine and discuss the meaning of surveillance. Results Surveillance is a complex concept that shifts meaning and is socially and institutionally constructed through relations of power. Conclusions Healthcare providers need to understand the different meanings and practices associated with surveillance to effectively inform practice. Relevance to clinical practice Healthcare providers should be aware of how their positions of expert and privilege within healthcare systems affect relationships with mothers. A more comprehensive understanding of personal, social and institutional aspects of surveillance will provide opportunities to reflect upon and change practices that are supportive of mothers and their families.

Suggested Citation

  • Sue Peckover & Megan Aston, 2018. "Examining the social construction of surveillance: A critical issue for health visitors and public health nurses working with mothers and children," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 379-389, January.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:1-2:p:e379-e389
    DOI: 10.1111/jocn.14014
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    1. Susan R Harvey & Virginia Schmied & Daniel Nicholls & Hannah Dahlen, 2012. "Key components of a service model providing early childhood support for women attending opioid treatment clinics: an Australian state health service review," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(17‐18), pages 2528-2537, September.
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    Cited by:

    1. Lotte Broberg & Jane M. Bendix & Katrine Røhder & Ellen Løkkegaard & Mette Væver & Julie C. Grew & Helle Johnsen & Mette Juhl & Vibeke de Lichtenberg & Michaela Schiøtz, 2024. "Combining the Antenatal Risk Questionnaire and the Edinburgh Postnatal Depression Scale in Early Pregnancy in Danish Antenatal Care—A Qualitative Descriptive Study," IJERPH, MDPI, vol. 21(4), pages 1-14, April.
    2. Andrea Begley & Kyla Ringrose & Roslyn Giglia & Jane Scott, 2019. "Mothers’ Understanding of Infant Feeding Guidelines and Their Associated Practices: A Qualitative Analysis," IJERPH, MDPI, vol. 16(7), pages 1-16, March.

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