The professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings

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Chamberlain College of NursingNR451: RN Capstone Course

Capstone Project Milestone 3:

Educating Staff: Implementing Change Guidelines

Purpose

The purpose of this assignment is to create the Educating Staff: Implementing Change Project PowerPoint presentation. Your plan is to educate the staff that will be involved in the pilot program. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan will be implemented.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

• CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2) 

• CO3: Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO #3)

• CO7: Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO #7)

Due Date

Milestone 3 consists of the PowerPoint presentation Educating Staff: Implementing Change Project. Submit this Milestone to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 6.

Points

Milestone 3 is worth 200 points.

Directions

1. Create an educational presentation for staff before the launch of your change project. This should inform the staff of the problem, your potential solution, and their role in change project. 

2. The format for this proposal will be a PowerPoint presentation. 

3. Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found under the Special Courses list in eCollege.

4. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.

5. Below are the topics for the slides:

a. Title slide

b. Description of the change model used

c. Practice Issue

d. Scope of the problem—use statistics from what you know of the problem in your work area.

e. Your team/stakeholders

f. Evidence to support your need for change—from your Evidence Summary

g. Action Plan 

h. Timeline for the plan

i. The nurse’s role and responsibility in the pilot program

j. Procedure 

k. Forms that will be used (if applicable)

l. Resources available to the staff—including yourself

m. Summary

n. References

6. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. Citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means choose peer-reviewed journals and credible websites.

Guidelines

• Application: Use Microsoft PowerPoint 2010.

• Length: The PowerPoint slide show is expected to be between 15-20 slides in length (not including the title slide and reference list slide).

• Submission: Submit your files via the basket in the Dropbox: “Educating the Staff: Implementing the Change Project” by 11:59 p.m. Sunday of Week 6. 

• Late Submission: See the course policy on late submissions.

• Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started.

Best Practices in Preparing a PowerPoint Presentation

The following are best practices in preparing this presentation.

1. Be creative.

2. Incorporate graphics, clip art, or photographs to increase interest.

3. Make easy to read with short bullet points and large font.

4. Use speaker notes (found under the section View and “Notes” in the PowerPoint template you choose. These are for your personal use to use as a reference if you are giving your presentation to an audience.

5. Review directions thoroughly.

6. Cite all sources within the slides with (author, year) as well as on the Reference slide.

7. Proofread prior to final submission.

8. Spell check for spelling and grammar errors prior to final submission.

9. Abide by the Chamberlain academic integrity policy.

Grading Criteria: Educating Staff: Implementing Change

Grading Rubric: Educating the staffMilestone 3

The ANA Code of Ethics and/or Interpretive Statements offer any guidance to nurses

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Need an APA paper (content only) discussing two questions below:

No plagiarism/ no abstract/ no title page. Due by 4/9/17 at 1200

Must use references/links provided and follow rubric below.

1  What provisions of the ANA Code of Ethics and/or Interpretive Statements offer  any guidance to nurses in the following recent situation contained in these links below?

2   Apply Ethical Theory, including Kantian theory, and  Ethical Decision Making to arrive at the best course of action in the following scenario contained in this Youtube link and the following links below, which is based on a recently reported occurrence:

http://www.youtube.com/watch?v=iL_ONS-O9A4 (Links to an external site.)

http://www.reuters.com/article/2014/10/27/us-health-ebola-usa-newyork-idUSKBN0IG12920141027 (Links to an external site.)

Read the ANA Statement on Quarantine of Nurses: ANA Statement on Quarantine.docx

Week 1 Paper #2 Rubric

Week 1 Paper #2 Rubric

This criterion is linked to a Learning OutcomeCode of Ethics-Student adequately applies Code of Ethics/Interpretive statements to assigned case study in link.

2.0 pts

This criterion is linked to a Learning OutcomeDecision Making- Student adequately applies ethical theory, including Kantian theory,and ethical decision making to arrive at a course of action

2.5 pts

This criterion is linked to a Learning OutcomeDescription of criterion

0.5 pts

Total Points: 5.0

How does the NCSBN model compare with Florida’s Nurse Practice act and regulations

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Read the Florida Nurse Practice Act sections 464.001, .002, .003, .016, .017, & .018 and also the Rules of the Board of Nursing sections 64B9-1.001, 5.001, 5.002, 5.003, 5.009, 5.010, 5.011, 5.012, 8.003, 8.0045. 8.005, 8.006 (scan only 8.006), 9.002,9-12, 9-14, 9-15.002 all found at:

Florida Nurse Practice Act: http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0400-0499/0464/0464PARTIContentsIndex.html

Board of Nursing 64B9: https://www.flrules.org/gateway/Division.asp?toType=&DivID=332%20

  •  1.  How does the NCSBN model compare with Florida’s Nurse Practice act and regulations?
  •  2.  Which Act/ Rules do you prefer and why?
  • 3.  Which one is more restrictive for nurses?
  • 4.  Comment on the following scenario:

The RN is taking care of an 86 year old patient 10 days post a 5 vessel bypass. The patient’s fluid balance has been precarious with frequent bouts of congestive heart failure and third spacing of fluids. Today the nurse obtains a BP of 72/40 and starts a bolus of normal saline at 150 mL per hour. The nurse has not tried to contact the physician and there are no standing orders to cover his other actions.  Is the RN within his or her scope of practice as set forth in the Florida Nurse Practice Act? In particular, section 464.003 (2).  

Answer questions 1-4, APA format, no plagiarism, no set amount of words just thoroughly answer 1-4

How can RNs support the patient’s decision when the beliefs of the patient are contrary to their own

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Mark, a 35-year-old, was brought via ambulance to the emergency department after collapsing on the street. He was diagnosed with appendicitis and the surgical team was alerted to the potential surgery. The physician prepared to obtain informed consent and began discussing the simple effective surgery and the treatment with the patient. The RN was present at the bedside. The patient stated he did not want surgery. Based upon his beliefs as a Christian Scientist, it is against his practices. He requested a Christian Science practitioner. The patient rated his pain as 9 on 0-10 verbal pain scale so the RN prepared the narcotic analgesic to relieve the patient’s pain. The patient declined the medication. The RN believes the patient should accept the pain medication and have the surgery thinking “If it were me I would proceed with the surgery and treatments proposed by the surgeon.” The surgeon can be heard speaking to a fellow surgeon about how to go about changing the patient’s decision.

Initial Discussion Post:

Address the following:

  1. State and discuss the legal and ethical considerations occurring in this scenario. Include supporting citations.
  2. How can RNs support the patient’s decision when the beliefs of the patient are contrary to their own? List three (3) interventions, with supporting rationales, the RN would perform to ensure the delivery of culturally sensitive care.
  3. Identify one (1) additional major religion, in which the same circumstances might also require the RN to advocate for the patient’s refusal of surgery. Describe the beliefs behind why the identified religion could pose a moral conflict for a similar patient.

Reliable mobile health, or mHealth application app that can help a patient maintain or improve good health, and prevent illness

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Guidelines and Grading Rubric

Purpose

The purpose of this assignment is to demonstrate the skills of the professional nurse as an educator. You are to prepare a guide that will serve as a handout to assist a specific patient that you identify. Your guide or handout should help this patient find and evaluate a reliable mobile health, or mHealth application (app) that is already developed. This may be related to his or her disease process or diagnosis, or may be an app that can help a patient maintain or improve good health, and prevent illness.

You will develop the guide using Microsoft PowerPoint. PowerPoint is a versatile application that lets you design slideshows and handouts. For this assignment, you will be using PowerPoint to create a guide or handout that you may print and give to patients and families. You will be submitting this PowerPoint file to the Dropbox.

Course Outcomes

This assignment enables the student to meet the following Course Outcome.

CO#1: Describe patient-care technologies as appropriate to address the needs of a diverse patient population. (PO#1)

CO#5: Identify patient care technologies, information systems, and communication devices that support safe nursing practice. (PO#5)

Points

This assignment is worth a total of 175 points.

Due Date

The Patient Education Technology Guide to a Mobile Health Application PowerPoint assignment is due at the end of Week 2. Submit your completed assignment to the Dropbox by Sunday; 11:59 p.m. MT. You may consult the Policies, under the Course Home tab, for details regarding late assignments. Late assignments will result in loss of points. Post questions about this assignment in the Q & A discussion.

Directions

Use Microsoft PowerPoint to create slides, which will be the basis of the guide or handout. You are required to cite your source(s) as it relates to your application slide. Other citations are permitted, but this is not a requirement for the assignment.

·       Title slide (first slide): Include a title slide with your name and title of the presentation.

·       Scenario Slide (one slide): This slide should include a brief scenario, then identify a patient who is experiencing a specific disease process or diagnosis who would benefit from an already developed and reliable mHealth app. Or, identify a person is currently healthy and would like to maintain or improve health and prevent illness. Be sure to include the nurse’s assessment of the patient’s learning needs and readiness to learn. Be specific.

Example:

Scenario for Ms. Ellis

Jane Doe (your name here)

·       Jennifer Ellis, a 62-year-old African American who has been recently diagnosed with chronic kidney disease (CKD). She has been prescribed several medications she must take every day.

·       The nephrologist has stressed the importance of leading a healthy life style to slow or stop the progression of CKD.

·       She is interested in ways in which she can better track her health and make healthier choices.

·       She is a high school graduate and iPhone user, mostly to send text messages to family and friends.

·       She is eager to learn how to use an app that can help her manager her CKD.

Prepare the following slides as if you are presenting them to the patient.

·       mHealth Application Slide (one to three slides): Identify a developed and reliable mHealth app that could benefit the patient. Describe the app including its:

·       Name

·       Purpose

·       Intended audience

·       Mobile device(s) upon which it will operate

·       Where to download or obtain it. Include a working link if it is to be downloaded from a website.

·       And any other information you believe would be pertinent to this situation.

·       Sources that are used are cited.

·       Teaching Slides (one to three slides): Prepare slides that contain important points about the app that you want to teach to the patient such as: how to use the app safely and effectively including how to interpret and act on the information that is provided.

·       Evaluation Slide (one to three slides): Describe how you would determine the success of the patient’s use of this app. For example, include ways to evaluate the effectiveness of the teaching plan that are a good fit for the type of app or focus on specific ways that this app benefits the patient’s health and wellness.

·       References (last slide): List any references for sources that were used or cited in the presentation.

Writing and Design: There should be no spelling or grammatical errors. Writing is concise and clear. Avoid words that the patient may not understand. Slides are visually appealing incorporating graphics, photographs, colors, and themes.

Review the section on Academic Integrity Policy found in the RNBSN Policies. All work must be original (in your own words) unless properly cited.

Best Practices in Preparing PowerPoint Slideshows

·       Be creative, but realistic.

·       Incorporate graphics, color, themes, or photographs to increase interest.

·       Make easy to read with short bullet points and large font.

·       Review directions thoroughly.

·       Cite all sources within the slides with (author, year) as well as on the Reference slide.

·       Proofread prior to final submission.

·       Spell check for spelling and grammar errors prior to final submission.

·       Abide by the Chamberlain academic integrity policy.

·       Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found under the Special Courses list in Canvas.

Grading Criteria

Assessing the neurological status of the patient

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TASK DESCRIPTION :- 

You will appraise a health assessment vignette and make critical observations on the situation. Drawing on the given consumer health assessment data, you will discern normal and abnormal data; make connections between these data and specifics of the situation, and develop an initial plan that includes priorities for action.

WHAT YOU NEED TO DO :-

  1. Review the knowledge and skills relating to:
    1. a)  Assessment data collection processes
    2. b)  Assessing the neurological status of the patient
    3. c)  Clinical reasoning and decision-making
    4. d)  SBAR communication.2.Watch the health assessment vignette
      1. https://youtu.be/OwKkWKUJc5Q The first scenario relates to a patient with a head injury (up to 3.07 minutes).The second scenario relates to a patient with an ankle injury.3. After watching the health assessment vignette answer the following questions. Question 1 (500 words):You are the RN working in the clinical where the patient in the vignette has just presented with a head injury.Explain what neurological assessment data should be collected from the patient to ensure any neurological deficit is identified?Linking your assessment reasoning to anatomy and physiology, provide a rationale for collecting this data.Justify your answer using evidence from two (2) contemporary, valid research articles (no older than 7 years)Question 2 (250 words):Watch the second part of the vignette (from 3.07 minutes) relating to the patient who has sustained an ankle injury.Document a written handover you will provide to the doctor who will take over the patient’s care.Your report must use the SBAR format which accurately reflects information obtained from the viewed episode of care. 

S Situation: Identify patient and what is new for that shift

B Background: What are the relevant pieces of information about your client medical history?

A Assessment: What is new about your client’s condition? What happened during your shift

R Recommendation: What is the plan for the next shift? 

How effective are anti-depressive medications on anxiety and depression

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Discussion Question due 8/26

Review the following research questions.

1.Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?

2.How effective are anti-depressive medications on anxiety and depression?

3.For patients of 70 years and older, how effective is the use of the influenza vaccine at preventing flu as compared to patients who have not received the vaccine?

4.What is the relationship between alcohol and breast cancer?

5.What is the difference between self-efficacy scores in older adults who exercise and the scores of those who do not?

6.What is the difference in attitudes of male and female college students toward condoms?

Next, select 3 of the above questions and address the following:

•Identify an appropriate research design.

•Discuss the strengths and weaknesses of the design.

•Provide a rationale for the design you selected

Select three research questions from the list of research questions; for each research question describe the following:

     *  Identify an appropriate research design to support the research question

     *  Describe the strengths and weaknesses of the selected research design

     *  Provide a rationale for the selected research design (in other words, explain how the research design supports the purpose of the research and research question)

PAPER NEED TO BE APA STYLE REFERENCE NO OLFER THAN 5 years old and plagiarism less than 16% 

Nursing Informatics Competencies

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Nursing Informatics Competencies

Today’s fast-paced health care environment demands nurses to be skilled not only in their clinical practice or specialty area but in the use of technology tools that improve practice and lead to better patient care. Basic and advanced technology competencies are required and expected as technology increasingly touches and changes the job of every nurse. Numerous organizations, including the American Nurses Association (ANA), the American Medical Informatics Association (AMIA), and Healthcare Information and Management Systems Society (HIMSS), have developed nurse-specific technology competencies. The challenge for nurses is to identify both needs and training opportunities.

In this Discussion, you identify the role informatics plays in your professional responsibilities. You pinpoint personal gaps in skills and knowledge and then develop a plan for self-improvement.

To prepare:

  • Review Nursing Informatics: Scope and Standards of Practice in this week’s Learning Resources, focusing on the different functional areas it describes. Consider which areas relate to your current nursing responsibilities or to a position you held in the past. For this Discussion, identify one or two of the most relevant functional areas.
  • Review the list of competencies recommended by the TIGER Initiative. Identify at least one skill in each of the main areas (basic computer competencies, information literacy competencies, and information management competencies) that is pertinent to your functional area(s) and in which you need to strengthen your abilities. Consider how you could improve your skills in these areas and the resources within your organization that might provide training and support.

Post on or before Day 3 the key functional area(s) of nursing informatics relevant to your current position or to a position you recently held, and briefly describe why this area(s) is relevant. Identify the TIGER competencies you selected as essential to your functional area(s) in which you need improvement. Describe why these competencies are necessary and outline a plan for developing these competencies. Include any resources that are available to you within your organization and the ways you might access those resources. Assess how developing nursing informatics competencies would increase your effectiveness as a nurse

Readings

  • American Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.).Silver Springs, MD: Author.
    • “Functional Areas for Nursing Informatics” This chapter describes the key functional areas of nursing informatics. It also clarifies the roles of informatics nurse specialists and informatics nurses. 
    • “Informatics Competencies: Spanning Careers and Roles“This chapter details an informatics competencies matrix that has been developed by reviewing research. It outlines best practices for successful use of health information technology.
  • McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge (Laureate Education, Inc., custom ed.). Burlington, MA: Jones & Bartlett Learning.
    • Chapter 8, “Nursing Informatics Roles, Competencies, and Skills”This chapter details the roles, competencies, and skills that ensure effective nursing informatics practice. The text also details the future of nursing informatics.
    • Chapter 9, “Information and Knowledge Needs of Nurses in the 21st Century”In this chapter, the author emphasizes the need for embedding the core concepts and competencies of informatics into the practice of nurses. The chapter describes how this integration of concepts and competencies is necessitated by the integration of clinical information technologies into nursing practice.
  • Wakefield, M. K. (2008). The Quality Chasm series: Implications for nursing. In R. G. Hughes (Ed.), Patient safety and quality: An evidence-based handbook for nurses (Vol. 1, pp. 47–66). Rockville, MD: U. S. Department of Health and Human Services. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2677/
    •  Pages 12–19This chapter discusses four of the Institute of Medicine’s reports on the quality and safety of health care. Specifically, the chapter focuses on the issues, concepts, findings, and recommendations of To Err Is Human, Crossing the Quality Chasm, Health Professions Education: A Bridge to Quality, and Quality Through Collaboration: The Future of Rural Health Care.
  • Cheeseman, S. E. (2011). Are you prepared for the digital era? Neonatal Network, 30(4), 263–266.Retrieved from the Walden Library databases.This article explores the application of health information technology (HIT) in neonatal intensive care units. In addition, the article highlights national initiatives advocating for the implementation of HIT throughout the health care delivery system.
  • AMIA. (2012). AMIA. Retrieved from http://www.amia.org/This homepage of AMIA (formerly known as the American Medical Informatics Association) details the activities of the AMIA, including its publications, programs, events, and policies.
  • Healthcare Information and Management Systems Society. (2012a). Healthcare Information and Management Systems Society. Retrieved from http://www.himss.org/This homepage of the Healthcare Information and Management Systems Society displays research conducted by HIMSS and introduces various tools, events, and resources for professional development.
  • Healthcare Information and Management Systems Society.(2012b). Resources/reports. Retrieved from http://www.thetigerinitiative.org/resources.aspxThis page of the TIGER website contains a list of resources and reports related to the development and implementation of technology informatics.
  • Healthcare Information and Management Systems Society.(2012c). The TIGER initiative. Retrieved from http://www.thetigerinitiative.org/This site includes information on the phases of the TIGER Initiative and includes related resources and reports, opportunities for strategic partnerships, and general information about TIGER.
  • Technology Informatics Guiding Educational Reform. (2009). TIGER informatics competencies collaborative final report. Retrieved from http://tigercompetencies.pbworks.com/f/TICC_Final.pdfThis text details foundational informatics competencies that nurses should possess in order to meet standards of providing safe, quality, and competent care. In particular, this article specifies requirements for nurses in the areas of basic computer competencies, information literacy, and information management.
  • The TIGER Initiative. (2009). Informatics competencies for every practicing nurse: Recommendations from the TIGER collaborative. Retrieved from http://www.thetigerinitiative.org/docs/TigerReport_InformaticsCompetencies.pdfThis report supplies the findings and recommendations of the Informatics Competencies Collaborative Team. The text describes the background, methodology, findings, and recommendations for future work as stated by the team.
  • Quality and Safety Education for Nurses. (2012). Quality and Safety Education for Nurses. Retrieved from http://www.qsen.org/This homepage supplies information on quality and safety competencies, teaching strategies, faculty resources, pilot schools, and QSEN Consultants.

Media

  • Laureate Education, Inc. (Executive Producer). (2012d). Health information technology competencies. Baltimore, MD: Author. Note: The approximate length of this media piece is 10 minutes.This video features interviews of Katie Skelton, Doris Fischer, Carina Perez, Shannon Mori, and Carmen Ferrell. They explain key skills and competencies that will allow nurses to capitalize on the benefits of health information technology in the health care setting.Accessible player–Downloads–Download Video w/CCDownload AudioDownload TranscriptOptional Resources
    • Schleyer, R. H., Burch, C. K., & Schoessler, M. T. (2011). Defining and integrating informatics competencies into a hospital nursing department. CIN: Computers, Informatics, Nursing, 29(3), 167–173.Retrieved from the Walden Library databases.

Managing the Multigenerational Workforce

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my major is nursing

Paper Requirements

 500 words minimum about 2 pages

 double spaced

 times new roman format

 font size 12

 one inch margins

 utilizing three references in the body of the paper

 works cited page

Content Requirements

 you must indicate your major/interest in one to two paragraphs

 indicate how your topic could impact your work environment, career, or college education.

 Without the works cited page and references in the body of the paper, I will conclude that this was an opinion paper and you will receive 0 points.

The easiest way to find information is to do a google search. Do not utilize topics from the textbook, this paper should uncover research that is outside of what is presented in the text. If you choose a different topic than below, you must receive permission from the instructor. Do not wait until the last minute to pick a topic as you may need assistance with your reference search.

Topics the following are topics that can be utilized:

 Harassment & Discrimination Prevention tips

 Diversity & Inclusion Training Diversity Benefits

 Acceptance versus Assimilation: Move past requiring others to conform; learn how to go from tolerating to accepting and embracing diversity

 Leading a Diverse Organization

 Uncovering Implicit Bias in the workplace

 Respect and Inclusion in the workplace

 Beyond the Law: As you promote diversity in your workforce, go beyond what the law requires, and create a culture of inclusion.

 Hiring High Quality Diverse Candidates

 Diverse Team Building Across Cultures

 The Power of Respectful Language

 Managing the Multigenerational Workforce

 Diversity Transition to Respect

 Honoring Holiday Traditions (Tips on how holiday-related policies can help create a workplace of inclusion. Best practices for holiday-related celebrations).

The determinants of health and explain how those factors contribute to the development of communicable disease

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In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.

Communicable Disease Selection

Choose one communicable disease from the following list:

  1. Chickenpox

Epidemiology Paper Requirements

Include the following in your assignment:

  1. Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence).
  2. Describe the determinants of health and explain how those factors contribute to the development of this disease.
  3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle).
  4. Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).
  5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

A minimum of three references is required.

Refer to “Communicable Disease Chain” and “Chain of Infection” for assistance completing this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.