Date of Submission

Spring 5-6-2022

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Trinette Radasa

Second Advisor

Jo Loomis


Those who have ever been affected by an adverse childhood experience (ACE) have a greater likelihood of having poor birth outcomes. These include low infant birth weight, preterm delivery and can even lead to pregnancy loss. Black and Latina women have been identified by the Center’s for Disease Control (CDC) as those most affected by ACEs. The direct relationship is that Black and Latinas therefore have poor birth outcomes. With the implementation of nurse trained Community Health Workers (CHWs), the impacts within the community includes decreasing health care costs, adopting healthier choices for mother and child, and providing support and connection within a community. This literature review looks to address improvements in the measure of education and motivation levels of CHWs before and after having 6 to 8 hours of nurse led training over 3 months.