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The Use of Mobile Health Applications in Midwifery and Nursing: A Systematic Review of Theses

Yıl 2025, Cilt: 15 Sayı: 4, 180 - 189, 31.07.2025
https://doi.org/10.16899/jcm.1717270

Öz

Objective:
This study aims to systematically examine postgraduate theses on the use of mobile health applications in the fields of midwifery and nursing in Türkiye.
Methods:
This retrospective, cross-sectional, and descriptive study was conducted by searching the National Thesis Center database of the Council of Higher Education using the keywords “mobile health,” “mobile application,” and “digital health.” A total of 45 theses (11 master’s and 34 doctoral), completed between 2020 and 2025, meeting the inclusion criteria and available in full text were included. Among these, 5 were descriptive, while 40 were quasi-experimental or randomized controlled trials (RCTs).
Results:
The examined theses indicate that mobile health applications provide multifaceted support in midwifery and nursing, particularly in patient education, monitoring, and clinical decision-making processes. In midwifery, mobile health technologies were found to be effective in prenatal and postnatal follow-up, lactation counseling, and childbirth education, while in nursing, they supported chronic disease management, patient safety, and telehealth services. These applications were shown to improve the quality of patient care, reduce the workload of healthcare professionals, and enhance access to health services. However, several theses also emphasized significant challenges such as data security, patient privacy, technical limitations, and user compliance.
Conclusion:
Findings demonstrate that mobile health applications are becoming increasingly prevalent in midwifery and nursing, playing a significant role in the digital transformation of healthcare services. For more effective use of these technologies, user-friendly designs should be developed, and further research should be conducted to assess their long-term impact.

Kaynakça

  • 1. Ayyaswami V, Padmanabhan DL, Crihalmeanu T, Thelmo F, Prabhu AV, Magnani JW. Mobile health applications for atrial fibrillation: a readability and quality assessment. Int J Cardiol 2019;293:288–293.
  • 2. Demir Yıldırım A, Yılmaz Esencan T, Güder A, Daştan K. Mobile health applications used in the field of midwifery. Karya J Health Sciences. 2023;4(2):174-178.
  • 3. TÜİK. Household information technology usage survey [İnternet]. [last access date: 11.06.2025 access address: https://data.tuik.gov.tr/Bulten/Index?p=Hanehalki-Bilisim-Teknolojileri-(BT)-Kullanim-Arastirmasi-2024-53492
  • 4. Debon R, Coleone JD, Bellei EA, De Marchi ACB. Mobile health applications for chronic diseases: A systematic review of features for lifestyle improvement. Diabetes Metab Syndr. 2019;13(4):2507-2512.
  • 5. Güler ÖGE. Gamification in mobile health services. J Open Educ Appl Res. 2015;1(2):82-101.
  • 6. Reel RB. Health workers' use of mobile health applications and acceptance of mobile applications [master’s thesis]. Bolu: Bolu Abant Izzet Baysal University; 2023.
  • 7. Sardi L, Idri A, Redman LM, Alami H, Bezad R, Fernández-Alemán JL. Mobile health applications for postnatal care: Review and analysis of functionalities and technical features. Comput Methods Programs Biomed. 2020;184:105114.
  • 8. Ardahan M, Akdeniz C. Mobil sağlık ve hemşirelik. STED. 2018; 27(6): 427-433.
  • 9. Fan JY, Li JM, Duan CY, Zhao Q, Guo YF. Utilization and Influencing Factors of Mobile Health Applications in Diabetes Management: An Integrative Review. Comput Inform Nurs. 2025;43(6):e01268.
  • 10. Şahin Ş. Mobile health in nursing. In: Health & Science 2025: Nursing-I. 2025:51.
  • 11. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews. BMJ. 2021;372:n71.
  • 12. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. PLoS Med. 2009;6(7):e1000100.
  • 13. Topkara FN. Development of breastfeeding supportive mobile application: Investigation of the effect of the application on breastfeeding self-efficacy and results in primiparas [dissertation]. Eskisehir: Osmangazi University; 2024.
  • 14. Şat SÖ. The effect of nursing care on postpartum adaptation through mobile health application created according to Roy's Adaptation Model for pregnant women [dissertation]. Ankara: Gazi University; 2021.
  • 15. Yenice G.Ç. The effect of a mobile application developed for the home care of a premature baby on the mother's baby care, self-efficiency and maternal attachment [dissertation]. Ankara: Ankara University; 2023.
  • 16. Karaçay Yıkar S. The effect of nursing care given in the postnatal period and e-mobile training on postnatal physical symptoms and breastfeeding self-efficacy [dissertation]. Adana: Çukurova University; 2022.
  • 17. Acar Z. Development of a mobile application based breastfeeding education programme and evaluation of its effectiveness [dissertation]. Istanbul: Istanbul University; 2022
  • 18. İnan B. The effect of education given to mothers through mobile application programme on attitudes and skills towards rational drug use [master’s thesis]. Tokat: Gaziosmanpaşa University; 2023.
  • 19. Eroğlu V. Online and application applicated yoga's effect on birth results [dissertation]. Sivas: Cumhuriyet University; 2022.
  • 20. Balcı H. The effect of education given to women undergoing breast surgery with mobile application on supportive care needs and quality of life: A randomised controlled study [dissertation]. Konya: Necmettin Erbakan University; 2023.
  • 21. Vardar O. The effect of mobile application developed for gynaecological cancer patients receiving chemotherapy on physical and psychosocial adaptation [dissertation]. Denizli: Pamukkale University; 2023.
  • 22. Özdemir C. The effect of fistula care training provided with mobile health application in haemodialysis patients on compliance with disease and self-care behaviours [dissertation]. Istanbul: University of Health Sciences; 2021.
  • 23. Budaycı Ö. The effect of drug reminder mobile application on treatment compliance in women with breast cancer receiving adjuvant hormone therapy [master’s thesis]. Denizli: Pamukkale University; 2023.
  • 24. Akyüz E. The effect of mobile application developed for caregivers of patients with percutaneous endoscopic gastrostomy on caregivers' knowledge level, skills and care burden [master’s thesis]. Düzce: Düzce University; 2024.
  • 25. Şahin B. The effect of using Smart My Diabetic mobile health application on self-care of individuals with type 2 diabetes [master’s thesis]. Izmir: Ege University; 2021.
  • 26. Üstündağ S. The effect of mobile application developed for individuals with multiple sclerosis on symptom management and quality of life [dissertation]. Izmir: Ege University; 2021.
  • 27. Meşhur G. The effect of education given to hypertensive individuals with hypertension via mobile phone on compliance with DASH diet, quality of life, conscious awareness and stress [dissertation]. Edirne: Trakya University; 2023.
  • 28. Özdemir. The effect of interactive nurse support programme developed with mobile application on patient outcomes in breast cancer patients receiving chemotherapy during COVID-19 pandemic [dissertation]. Ankara: Ankara University; 2024.
  • 29. Kaya A. The effect of exercise programmes performed through mobile application on the quality of life and dyspnoea levels of patients with COPD [dissertation]. Malatya: İnönü University; 2021.
  • 30. Döner NH. Investigation of the effect of mobile application developed for individuals with type 2 diabetes using insulin on the perception of insulin use and self-management [dissertation]. Izmir: Ege University; 2024.
  • 31. Karaaslan Eşer A. The effect of mobile application developed for patients using oral anticancer drugs in cancer treatment on drug compliance and symptoms [dissertation]. Ankara: Gazi University; 2020.
  • 32. Çelik F. Development of mobile health application for patients with liver cirrhosis and the effect of the application on patient activity level, summaryfulness and quality of life [dissertation]. Antalya: Akdeniz University; 2023.
  • 33. Çınkır İ. The effect of mobile application supported education on lower urinary system symptoms and quality of life of children with urination disorder [master’s thesis]. Aydın: Adnan Menderes University; 2023.
  • 34. Kıral C. Determination of the community's e-health literacy and the use of mobile health applications [master’s thesis]. Edirne: Trakya University; 2022.
  • 35. Torun G. The effect of mobile health application based on Omaha system on COVID-19 patients on physical, psychosocial, cognitive symptoms and quality of life [dissertation]. Istanbul: Istanbul University Cerrahpaşa; 2023.
  • 36. Karakoç S. The effect of mobile application supported education and counselling given to women with gestational diabetes on healthy lifestyle behaviours [dissertation]. Sivas: Cumhuriyet University; 2023.
  • 37. Şahan D. Comparison of the effect of education booklet and mobile application used in coronary artery bypass graft surgery discharge education on patients' readiness for discharge and self-efficacy [dissertation]. Aydın: Adnan Menderes University; 2022.
  • 38. Karadayı E. Development of mobile health (m-health) literacy scale [master’s thesis]. Izmir: Izmir Katip Çelebi University; 2022.
  • 39. Tunaman SÇ. Evaluation of the effectiveness of mobile health application developed for cervical cancer awareness [dissertation]. Ankara: Gazi University; 2024.
  • 40. Ağdemir B. The effect of interactive nurse support programme developed with mobile application on patient outcomes in colorectal cancer patients receiving chemotherapy in COVID-19 process [dissertation]. Ankara: Ankara University; 2024.
  • 41. Başcı D. The Effect of Education Given with Mobile Application Supportive Care Needs Distress and Quality of Life in Hematopoietic Stem Cell Transplant Patients [dissertation]. Ankara: Başkent University; 2023.
  • 42. Alakan YŞ. Evaluation of the effectiveness of simulation model and mobile application in teaching tracheal aspiration application to caregivers of patients with tracheostomy [dissertation]. Bursa: Uludag University; 2024.
  • 43. Ergezen Y. Developing a mobile application for the care of children with gastrostomy and the effect of the application on gastrostomy complications, parents' care burden, self-efficacy and anxiety level [dissertation]. Antalya: Akdeniz University; 2024.
  • 44. Demirezen D. Development of a mobile application for determining the psychological well-being of university students [dissertation]. Düzce: Düzce University; 2023.
  • 45. Inam Ö. The effect of mobile application and cognitive awareness-based nursing support on psychosocial status in women with infertility treatment [dissertation]. Istanbul: Istanbul University; 2022.
  • 46. Çıtak G. The effect of game-based mobile application on midwifery students' learning postpartum haemorrhage management [dissertation]. Sivas: Cumhuriyet University; 2023.
  • 47. Deniz Doğan S. The effect of e-mobile training and counselling services on self-care power, body image and quality of life in patients undergoing bariatric surgery [dissertation]. Adana: Çukurova University; 2022.
  • 48. World Health Organization. (2021). Global strategy on digital health 2020–2025. https://www.who.int/publications/i/item/9789240020924
  • 49. Özdemir N. The effect of mobile application developed to provide symptom control in chronic obstructive pulmonary patients on self-efficacy and chronic disease management [dissertation]. Istanbul: Istanbul University; 2023.
  • 50. Ozair, F. F., Jamshed, N., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic health records: A general overview. Perspectives in Clinical Research, 6(2), 73–76.
  • 51. Karatekin D. A mobile application study to evaluate pressure ulcers of nurses [master’s thesis]. Izmir: Katip Çelebi University; 2021.

Mobil Sağlık Uygulamalarının Ebelik ve Hemşirelik Alanındaki Kullanımı: Tezler Üzerine Sistematik Bir Derleme

Yıl 2025, Cilt: 15 Sayı: 4, 180 - 189, 31.07.2025
https://doi.org/10.16899/jcm.1717270

Öz

Amaç: Bu çalışmada, Türkiye’de ebelik ve hemşirelik alanında mobil sağlık uygulamalarının kullanımına yönelik yapılan lisansüstü tezlerin sistematik olarak incelenmesi amaçlanmıştır.
Yöntem: Çalışma retrospektif, kesitsel ve tanımlayıcı tasarıma sahiptir. Yükseköğretim Kurulu Ulusal Tez Merkezi veri tabanında, “mobil sağlık”, “mobil uygulama” ve “dijital sağlık” anahtar kelimeleri kullanılarak tarama yapılmıştır. Dahil edilme kriterlerine uygun, tam metnine ulaşılabilen ve 2020-2025 yılları arasında tamamlanmış 45 tez (11 yüksek lisans, 34 doktora) değerlendirmeye alınmıştır. Tezlerin 5’i tanımlayıcı, 40’ı ise yarı deneysel ve randomize kontrollü çalışma niteliğindedir.
Bulgular: İncelenen tezler, mobil sağlık uygulamalarının ebelik ve hemşirelik alanlarında hasta eğitimi, izlem ve klinik karar verme süreçlerini destekleme gibi çok yönlü katkılar sunduğunu göstermektedir. Özellikle ebelik alanında doğum öncesi ve sonrası takip, laktasyon danışmanlığı ve doğum eğitimi konularında; hemşirelikte ise kronik hastalık yönetimi, hasta güvenliği ve tele-sağlık hizmetlerinde mobil sağlık çözümlerinin etkili olduğu belirlenmiştir. Çalışmalar, mobil uygulamaların hasta bakım kalitesini artırdığını, sağlık çalışanlarının iş yükünü hafiflettiğini ve sağlık hizmetlerine erişimi kolaylaştırdığını ortaya koymaktadır. Ancak bazı tezlerde, veri güvenliği, hasta mahremiyeti, teknik sınırlamalar ve kullanıcı uyumu gibi faktörlerin mobil uygulamaların etkin kullanımını etkileyen önemli unsurlar olduğu vurgulanmıştır.
Sonuç:Bulgular, mobil sağlık uygulamalarının ebelik ve hemşirelik alanında giderek yaygınlaştığını ve sağlık hizmetlerinin dijitalleşmesinde önemli bir rol oynadığını göstermektedir. Bu teknolojilerin daha etkin kullanımı için kullanıcı dostu tasarımlar geliştirilmesi ve uzun vadeli etkilerinin değerlendirilmesine yönelik daha fazla araştırma yapılması gerekmektedir.

Kaynakça

  • 1. Ayyaswami V, Padmanabhan DL, Crihalmeanu T, Thelmo F, Prabhu AV, Magnani JW. Mobile health applications for atrial fibrillation: a readability and quality assessment. Int J Cardiol 2019;293:288–293.
  • 2. Demir Yıldırım A, Yılmaz Esencan T, Güder A, Daştan K. Mobile health applications used in the field of midwifery. Karya J Health Sciences. 2023;4(2):174-178.
  • 3. TÜİK. Household information technology usage survey [İnternet]. [last access date: 11.06.2025 access address: https://data.tuik.gov.tr/Bulten/Index?p=Hanehalki-Bilisim-Teknolojileri-(BT)-Kullanim-Arastirmasi-2024-53492
  • 4. Debon R, Coleone JD, Bellei EA, De Marchi ACB. Mobile health applications for chronic diseases: A systematic review of features for lifestyle improvement. Diabetes Metab Syndr. 2019;13(4):2507-2512.
  • 5. Güler ÖGE. Gamification in mobile health services. J Open Educ Appl Res. 2015;1(2):82-101.
  • 6. Reel RB. Health workers' use of mobile health applications and acceptance of mobile applications [master’s thesis]. Bolu: Bolu Abant Izzet Baysal University; 2023.
  • 7. Sardi L, Idri A, Redman LM, Alami H, Bezad R, Fernández-Alemán JL. Mobile health applications for postnatal care: Review and analysis of functionalities and technical features. Comput Methods Programs Biomed. 2020;184:105114.
  • 8. Ardahan M, Akdeniz C. Mobil sağlık ve hemşirelik. STED. 2018; 27(6): 427-433.
  • 9. Fan JY, Li JM, Duan CY, Zhao Q, Guo YF. Utilization and Influencing Factors of Mobile Health Applications in Diabetes Management: An Integrative Review. Comput Inform Nurs. 2025;43(6):e01268.
  • 10. Şahin Ş. Mobile health in nursing. In: Health & Science 2025: Nursing-I. 2025:51.
  • 11. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews. BMJ. 2021;372:n71.
  • 12. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. PLoS Med. 2009;6(7):e1000100.
  • 13. Topkara FN. Development of breastfeeding supportive mobile application: Investigation of the effect of the application on breastfeeding self-efficacy and results in primiparas [dissertation]. Eskisehir: Osmangazi University; 2024.
  • 14. Şat SÖ. The effect of nursing care on postpartum adaptation through mobile health application created according to Roy's Adaptation Model for pregnant women [dissertation]. Ankara: Gazi University; 2021.
  • 15. Yenice G.Ç. The effect of a mobile application developed for the home care of a premature baby on the mother's baby care, self-efficiency and maternal attachment [dissertation]. Ankara: Ankara University; 2023.
  • 16. Karaçay Yıkar S. The effect of nursing care given in the postnatal period and e-mobile training on postnatal physical symptoms and breastfeeding self-efficacy [dissertation]. Adana: Çukurova University; 2022.
  • 17. Acar Z. Development of a mobile application based breastfeeding education programme and evaluation of its effectiveness [dissertation]. Istanbul: Istanbul University; 2022
  • 18. İnan B. The effect of education given to mothers through mobile application programme on attitudes and skills towards rational drug use [master’s thesis]. Tokat: Gaziosmanpaşa University; 2023.
  • 19. Eroğlu V. Online and application applicated yoga's effect on birth results [dissertation]. Sivas: Cumhuriyet University; 2022.
  • 20. Balcı H. The effect of education given to women undergoing breast surgery with mobile application on supportive care needs and quality of life: A randomised controlled study [dissertation]. Konya: Necmettin Erbakan University; 2023.
  • 21. Vardar O. The effect of mobile application developed for gynaecological cancer patients receiving chemotherapy on physical and psychosocial adaptation [dissertation]. Denizli: Pamukkale University; 2023.
  • 22. Özdemir C. The effect of fistula care training provided with mobile health application in haemodialysis patients on compliance with disease and self-care behaviours [dissertation]. Istanbul: University of Health Sciences; 2021.
  • 23. Budaycı Ö. The effect of drug reminder mobile application on treatment compliance in women with breast cancer receiving adjuvant hormone therapy [master’s thesis]. Denizli: Pamukkale University; 2023.
  • 24. Akyüz E. The effect of mobile application developed for caregivers of patients with percutaneous endoscopic gastrostomy on caregivers' knowledge level, skills and care burden [master’s thesis]. Düzce: Düzce University; 2024.
  • 25. Şahin B. The effect of using Smart My Diabetic mobile health application on self-care of individuals with type 2 diabetes [master’s thesis]. Izmir: Ege University; 2021.
  • 26. Üstündağ S. The effect of mobile application developed for individuals with multiple sclerosis on symptom management and quality of life [dissertation]. Izmir: Ege University; 2021.
  • 27. Meşhur G. The effect of education given to hypertensive individuals with hypertension via mobile phone on compliance with DASH diet, quality of life, conscious awareness and stress [dissertation]. Edirne: Trakya University; 2023.
  • 28. Özdemir. The effect of interactive nurse support programme developed with mobile application on patient outcomes in breast cancer patients receiving chemotherapy during COVID-19 pandemic [dissertation]. Ankara: Ankara University; 2024.
  • 29. Kaya A. The effect of exercise programmes performed through mobile application on the quality of life and dyspnoea levels of patients with COPD [dissertation]. Malatya: İnönü University; 2021.
  • 30. Döner NH. Investigation of the effect of mobile application developed for individuals with type 2 diabetes using insulin on the perception of insulin use and self-management [dissertation]. Izmir: Ege University; 2024.
  • 31. Karaaslan Eşer A. The effect of mobile application developed for patients using oral anticancer drugs in cancer treatment on drug compliance and symptoms [dissertation]. Ankara: Gazi University; 2020.
  • 32. Çelik F. Development of mobile health application for patients with liver cirrhosis and the effect of the application on patient activity level, summaryfulness and quality of life [dissertation]. Antalya: Akdeniz University; 2023.
  • 33. Çınkır İ. The effect of mobile application supported education on lower urinary system symptoms and quality of life of children with urination disorder [master’s thesis]. Aydın: Adnan Menderes University; 2023.
  • 34. Kıral C. Determination of the community's e-health literacy and the use of mobile health applications [master’s thesis]. Edirne: Trakya University; 2022.
  • 35. Torun G. The effect of mobile health application based on Omaha system on COVID-19 patients on physical, psychosocial, cognitive symptoms and quality of life [dissertation]. Istanbul: Istanbul University Cerrahpaşa; 2023.
  • 36. Karakoç S. The effect of mobile application supported education and counselling given to women with gestational diabetes on healthy lifestyle behaviours [dissertation]. Sivas: Cumhuriyet University; 2023.
  • 37. Şahan D. Comparison of the effect of education booklet and mobile application used in coronary artery bypass graft surgery discharge education on patients' readiness for discharge and self-efficacy [dissertation]. Aydın: Adnan Menderes University; 2022.
  • 38. Karadayı E. Development of mobile health (m-health) literacy scale [master’s thesis]. Izmir: Izmir Katip Çelebi University; 2022.
  • 39. Tunaman SÇ. Evaluation of the effectiveness of mobile health application developed for cervical cancer awareness [dissertation]. Ankara: Gazi University; 2024.
  • 40. Ağdemir B. The effect of interactive nurse support programme developed with mobile application on patient outcomes in colorectal cancer patients receiving chemotherapy in COVID-19 process [dissertation]. Ankara: Ankara University; 2024.
  • 41. Başcı D. The Effect of Education Given with Mobile Application Supportive Care Needs Distress and Quality of Life in Hematopoietic Stem Cell Transplant Patients [dissertation]. Ankara: Başkent University; 2023.
  • 42. Alakan YŞ. Evaluation of the effectiveness of simulation model and mobile application in teaching tracheal aspiration application to caregivers of patients with tracheostomy [dissertation]. Bursa: Uludag University; 2024.
  • 43. Ergezen Y. Developing a mobile application for the care of children with gastrostomy and the effect of the application on gastrostomy complications, parents' care burden, self-efficacy and anxiety level [dissertation]. Antalya: Akdeniz University; 2024.
  • 44. Demirezen D. Development of a mobile application for determining the psychological well-being of university students [dissertation]. Düzce: Düzce University; 2023.
  • 45. Inam Ö. The effect of mobile application and cognitive awareness-based nursing support on psychosocial status in women with infertility treatment [dissertation]. Istanbul: Istanbul University; 2022.
  • 46. Çıtak G. The effect of game-based mobile application on midwifery students' learning postpartum haemorrhage management [dissertation]. Sivas: Cumhuriyet University; 2023.
  • 47. Deniz Doğan S. The effect of e-mobile training and counselling services on self-care power, body image and quality of life in patients undergoing bariatric surgery [dissertation]. Adana: Çukurova University; 2022.
  • 48. World Health Organization. (2021). Global strategy on digital health 2020–2025. https://www.who.int/publications/i/item/9789240020924
  • 49. Özdemir N. The effect of mobile application developed to provide symptom control in chronic obstructive pulmonary patients on self-efficacy and chronic disease management [dissertation]. Istanbul: Istanbul University; 2023.
  • 50. Ozair, F. F., Jamshed, N., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic health records: A general overview. Perspectives in Clinical Research, 6(2), 73–76.
  • 51. Karatekin D. A mobile application study to evaluate pressure ulcers of nurses [master’s thesis]. Izmir: Katip Çelebi University; 2021.
Toplam 51 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Orjinal Araştırma
Yazarlar

Gizem Çıtak 0000-0002-5484-2233

Hilal Bulduk 0009-0006-8891-8634

Yayımlanma Tarihi 31 Temmuz 2025
Gönderilme Tarihi 11 Haziran 2025
Kabul Tarihi 26 Temmuz 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 15 Sayı: 4

Kaynak Göster

AMA Çıtak G, Bulduk H. The Use of Mobile Health Applications in Midwifery and Nursing: A Systematic Review of Theses. Journal of Contemporary Medicine. Temmuz 2025;15(4):180-189. doi:10.16899/jcm.1717270