Free Essay

Glycemic Control

In:

Submitted By adamandevil
Words 1709
Pages 7
Critique Nursing Journal Article
Kendra Duran
Excelsior College

Abstract
Complications from, and economic costs associated with diabetes are on the rise. The concern is that this global health epidemic is only expected to worsen in the coming decades. One quantitative research study aims to improve patient outcomes specifically related to proper control of blood glucose level, by linking patient outcomes with health literacy and patient trust. A quantitative study consisting of a convenience sample of 102 subjects from two urban health care centers was used. Patient demographics, socioeconomic status, and diabetes related knowledge, and depression were measured. The results of this study are mixed in supporting the hypothesis that lower health literacy directly impacts glycemic control.

The 2010 journal article titled, “Impact of health literacy and patient trust on glycemic control in urban USA population” from Nursing Health and Sciences, hypothesizes a direct relationship between a patient’s overall health literacy and the ability to maintain glycemic control. The study’s intent is to examine questions related to health literacy and a patient’s trust in their healthcare provider to make a connection to how well the subjects managed glycemic control. Questions related to potential depression are also relevant.
Author, Josephine M. Mancuso, PhD, ANP-BC from Marquette University, has published articles in the following nursing journals: Journal Of Nursing Care Quality, Journal Of Professional Nursing: Official Journal Of The American Association Of Colleges Of Nursing, Western Journal Of Nursing Research, and Nursing & Health Sciences. In this research study, the author seeks to examine correlation between dependent and independent variables. The suspected purpose is often to generate hypotheses that can be tested in experimental research. In her study, Mancuso used the following set of eligibility criterion: subjects were ≥ 18 years of age, fluent in English, confirmed diabetes type 1 or 2, HbA1c within 6 months of the study, and received treatment for diabetes at least twice in the previous year. Using the above criteria, 102 subjects total were selected from two different urban healthcare clinics (Mancuso, 2010). This study aims to draw correlation between glycemic control (dependent variable) and overall health literacy and patient trust (independent variables).
According to Polit & Beck, a dependent variable is what is measured in an experiment and what is affected during the experiment. The dependent variable responds to the independent variable. It is called “dependent” because it cannot exist without the independent variable. An independent variable can be controlled and manipulated (Polit & Beck, 2010).
Strength of this research is the highlighting positive effects of proper glycemic control on overall health. The author states, “Control of blood glucose is a central outcome of diabetes management” (2010). This suggests that with proper maintenance of blood glucose levels and by lowering the HbA1c by 1%, patients can extend their life expectancy 5-8 years with lowered risks of eye, kidney, and peripheral nerve complications (2010).
Strength is also found in validation of statistical information from the American Diabetes Association. While conducting the study, Mancuso noted that 35% of participants achieved the desired HbA1c of ≤7% (2010). She cites the ADA reporting that, “37% of adults diagnosed with diabetes in the USA achieve glycemic control” (Mancuso, 2010). It is important for all individuals with diabetes to be mindful of blood glucose levels and HbA1c levels to reduce potential life-limiting complications of diabetes. Finally, strength in the research is found in the correlation of a person’s level of depression and trust in healthcare providers. Mancuso states, “The current findings are congruent with and add to the other studies that evaluated the influence of patient trust and depression on glycemic control” (2010). This is important to healthcare professionals in part because communication can be hindered if depression is present. Recognizing depression and opening lines of communication is crucial in establishing patient trust (2010). When a patient trusts the health care professional, they will likely be more open to discussing symptoms, adherence to medication management, and non-compliance with health care regimen. With this information, the health care professional can create a plan of care that is individualized and meets the unique learning style needs of every patient. Improving patient trust will improve patient outcomes. Limiting characteristics that potentially threaten the validity of the results include a relatively small sample size of a homogenous population, potential cultural bias and lack of congruent variables. If a sample size is too small, it may be difficult to find any significance in the relationship between the variables. Also, a small sample size may not provide a representative distribution of the population being studied (Mancuso, 2010).
In addition, the study’s objective and design were incongruent. Lack of a control group threatens internal validity because it was not clear if any benefits “observed” accurately reflected correlation between dependent and independent variables. Perhaps with this low income demographic, simply having access to a physician would have been sufficient to foster improved patient outcomes. In addition, it is not clear how or why these urban health care centers were selected. Whether or not there is any affiliation bias remains uncertain. External validity is questioned because it was not clear to whom the results would benefit. Potential bias is evidenced in the following statement by Mancuso, “The use of such similar samples that capture the working poor is rather generalized in its interpretations. This could lead to potential bias as socioeconomic and demographic information was collected” (2010). Additionally, patient trust develops from an initial vulnerability that eventually results in a reliance on the provider to care for their interests and needs. If a person is feeling intimidated or their current health literacy level prevents them from fully understanding information given, faulty findings may be demonstrated in this quantitative study. Further limitation is discovered in the lack of identified interventions that increased health literacy and patient trust. Whether an intervention is effective, on whom it is effective, how much benefit it produces and whether or not it is associated with negative outcomes should be addressed. Clearly, this study had many weaknesses that limit its value and the applicability of results. It is not clear why the study was not labeled simply as an exploratory qualitative study. Possibly further research exists on the topic. Ultimately, the convenience sample of 102 patients with diabetes demonstrated that patient trust and patient depression was significant. In addition, there was a significant positive correlation between a test subject’s lack of knowledge of diabetes management and low health literacy (Mancuso, 2010). Discovery of the correlation between an increase in health literacy and an increase in diabetes knowledge was found (2010). A positive correlation was found between a patient’s HbA1c level and that patient suffering from depression. A negative correlation was found between patient trust and HbA1c. As patient trust increased, HbA1c decreased (Mancuso, 2010). These results indicate that promotion of the patient–provider relationship, adequate depression screening in individuals with diabetes, as well as needed exploration of new strategies for diabetes education are much needed interventions in the goal of glycemic control. According to the study, the majority of participants who demonstrated poor glycemic control conversely demonstrated health literacy. It is not known how or why some individuals with satisfactory health literacy revealed poor glycemic control. Because of this, the study fails to connect health literacy and glycemic control in the test subjects (Mancuso, 2010). The significant variables related to proper glycemic control were patient trust and depression (Mancuso, 2010).
Brega,et al state, “results indicated that diabetes-related knowledge is a key mediator of the relationship between health literacy and glycemic control and highlighted the important association of diabetes knowledge with health behavior” (2012).
Similarly, a study by Coffman, Norton & Beene, acknowledged a knowledge deficiency related to diabetes. This lack of knowledge when coupled with low health literacy created obstacles to health care and prevented fitting interventions (2012).
The importance of the direction of this study is most relevant. The author attempts to address barriers to glycemic control that lead to complications from diabetes. Disease complications and rising costs associated with diabetes, is likened to a public health crisis that is projected to only get worse. The improvement of diabetes related outcomes could potentially positively impact all health care system. Future research in all areas of diabetic monitoring and teaching will be needed to advance the structure of diabetes education. The WHO estimates that 347 million people worldwide have diabetes. The WHO projects that diabetes related deaths will double between 2005 and 2030 (2013). No longer is diabetes associated with the gluttonous rich. The WHO states, “More than 80% of people with diabetes live in low and middle-income countries” (WHO, 2013). Diabetes has become a disease of poverty in developed countries. Incidents of diabetes is increasing most rapidly in developing countries, in theory, because industrialization and urbanization have led to a decrease in time to prepare a nutritious meal and costs associated with fresh produce is prohibitive.
Preservation of functional status and improvement in quality of life can be achieved with proper management of diabetes through adequate glycemic control. Depression and any correlation with patient trust of healthcare providers will need further investigation in other patient demographics. As we struggle to combat diabetes, ongoing encouragement of individuals to change their lifestyle choices may be the best way to proceed.

References
Brega, A., Ang, A., Vega, W., et al. (2012). Mechanisms underlying the relationship between health literacy and glycemic control in American Indians and Alaskan Natives. Patient Education and Counseling, Vol 88, issue 1. Retrieved from http://www.sciencedirect.com.vlib.excelsior.edu/science/article/pii/S0738399112001218?
Coffman, M., Norton, C., & Beene, L. (2012). Diabetes Symptoms, Health Literacy, and use in adult Latinos with diabetes risk factors. Journal of Cultural Diversity, 19(1), 4-9. Retrieved from http://ehis.ebscohost.com.vlib.excelsior.edu/eds/pdfviewer/pdfviewer?sid=8240fc39- 5c03- 4a6f-a579-66e888712afe%40sessionmgr113&vid=6&hid=2
Mancuso, J. (2010). Impact of health literacy and patient trust on glycemic control in urban USA population. Nursing Health & Sciences, 12(1), 94-104. http://ehis.ebscohost.com.vlib.excelsior.edu/ehost/pdfviewer/pdfviewer?sid=015cf9ae-6bba- 42f5-9bff-142925c04884%40sessionmgr4&vid=2&hid=8
World Health Organization. (2013). Diabetes. Retrieved from http://www.who.int/diabetes/en/

Similar Documents

Premium Essay

Glycemic Control Monitoring

...Patrick Sullivan HSCI 331 Journal Critique The Potential for Glycemic Control Monitoring and Screening for diabetes at Dental Visits Using Oral Blood: By: Shiela M. Strauss, Mary T. Rosedale, Michael A. Pesce, David M. Rindskopf, Navjot Kaur, Caroline M. Juterbock, Mark S. Wolff, Dolores Malaspina, and Ann Danoff Vol. 105, No. 4, pp. 796-801. doi: 10.2105/AJPH.2014.302357 Diabetes has become a major problem in the United States. More and more Americans are affected each day because simple healthy lifestyle routines are not met. There are many undiagnosed Americans who do not know that they have or are susceptible to diabetes due to family history of the disease or their very own dietary disorientation. Glycemic control, a way to monitor blood sugar through diet and blood source, has proven to help people with diabetes and those who are pre-diabetic. The major public health issue which this research concerns is how to get early diagnosis and treatment through a more primary intervention for those who already have or are susceptible to diabetes. The study is important because Type 2 diabetes and other forms of the disease are preventable. Patients can only be helped if they are diagnosed, understand susceptibility, and are aware of the health problem. There is a known fact that most patients visit their dental provider more often than a primary care provider (PCP), some reasons being that dental visits are inexpensive and less invasive. The objective...

Words: 646 - Pages: 3

Free Essay

The Highs and Lows of Carbohydrates

...The Highs and Lows of carbohydrates How do foods affect blood sugar levels? The old myth that a sugary snack will cause a dramatic rise, and then a fall, in blood sugar levels has been overturned as researchers find out more about the physiological effects of foods on blood sugar levels. New ways to measure just how our blood sugar will react to various foods has provided insights into the prevention and control of conditions such as obesity, diabetes and heart disease and has also revolutionised diet in sport and the foods eaten in the hours before physical exertion in sport. The Glycaemic index (GI) The glycaemic index (GI) is a way of assessing measuring the effects of food on blood sugar levels. After a carbohydrate food is eaten there is a rise, and subsequent decrease, in blood sugar (glucose). This phenomenon is level known as the glycaemic response. The glycaemic response to the ingestion of carbohydrate-containing foods can be compared to the response to a standard food, such as white bread or glucose. This resulting value measurement is called the glycaemic index of that food. A ranking on a scale up to 100 rates the increase in blood sugar levels after eating a portion of food providing 50 grams of carbohydrate. A 50-gram portion of pure glucose is the standard that is now accepted for use as the basis of comparison. Foods that break down quickly during digestion, for example rice, have the highest glycaemic indices. They raise blood sugar levels higher and...

Words: 1063 - Pages: 5

Free Essay

High Glycemic Foods: Affects on Obesity & Disease

...High Glycemic Foods: Affects on Obesity & Disease Are high glycemic diets a cause of obesity and disease in America today? Obesity and chronic diseases such as diabetes and cardiovascular disease are at an all time high in the United States; studies link a high glycemic diet with obesity and chronic disease. The Worldwide Health Organization (WHO) reports that there are more than 1 billion overweight adults globally” (WHO, 2010). According to a 2005-2006 CDC study of the United States population, 34% of adults are obese. In addition, the International Diabetes Federation announced in 2006 that diabetes is becoming the epidemic of the 21st century with 246 million people affected worldwide (Lefebvre, 2006). Diabetes currently affects 23.5 million adults and 2 million adolescents in the United States with 1.6 million new cases diagnosed each year (American Diabetes Association, 2007). The WHO also reports that heart disease is the top cause of death in the world and in high-income countries like the United States (WHO, 2004). In 2006 the American Heart Association estimated that 81,100,000 million people in the United States have some form of Heart Disease (American Heart Association, 2006). Despite the fact that high glycemic foods do not affect all people the same way, high glycemic diets are killing Americans because they increase the risk of obesity and disease. High glycemic diets are prevalent in America today. Due to the rise of coronary heart disease in the 1970’s...

Words: 4183 - Pages: 17

Premium Essay

Low Gi Diabetic Rice

...controlled in around 70 per cent of the cases. Strict diet is often done to control blood glucose levels by reducing and even avoiding rice consumption because rice is considered as hyperglycemic food (can raise blood glucose level quickly) and replacing it with tubers. Whereas rice has a range of Glycemic Index value (GI), from low to high GI depending on the species and varieties. Rices that raise blood glucose level quickly have high GI levels, whereas with low GI will raise blood glucose levels slowly. Glycemic Index (GI) The number listed next to each food is its glycemic index. This is a value obtained by monitoring a person’s blood sugar after eating the food. The value can vary slightly from person to person and from one type or brand of food and another. A noticeable difference is the GI rating of Special-K which produced considerably different results in tests in the US and Australia, most likely resulting from different ingredients in each location. Despite this slight variation, the index provides a good guide to which foods you should be eating and which foods to avoid. The glycemic index range is as follows: |Low GI = 55 or less | |Medium GI = 56 - 69 | |High GI = 70 or more | The glycemic index was researched by Sydney University in conjunction with the CSIRO, based on original research by the University of Toronto, Canada. Sydney University’s great glycemic index website is here http://www.glycemicindex.com/. Choosing low...

Words: 1378 - Pages: 6

Free Essay

Importance of Working Capital Management

...World's largest study discovers how to keep the weight off for good Experts claim to have found the perfect diet for preventing weight gain Print Share Send Thu 25 Nov, 2010 11:00 am GMT © PinkShot - Fotolia.com Losing weight is difficult enough but, as anyone who has ever been on a diet knows, keeping it off is even harder. However, Danish researchers say they have come up with the perfect diet to lose weight and keep it off. According to the world's largest diet study, the best way to lose weight is to stick to a high protein/low glycaemic index (GI) diet with more lean meats, low fat dairy products and beans and fewer refined carbohydrates such as white bread and rice. The researchers say that calorie counting is not needed; people should just eat until they feel full. The experts from the University of Copenhagen reached their conclusions after comparing five different diets which are recommended for losing and maintaining a healthy weight. Some 938 overweight adults from eight European countries were put on a strict 800 kcal/day diet for eight weeks, and their weigh loss recorded. The volunteers were then randomly assigned to one of five different low-fat diets, and tracked for six months to find out which diet was best at preventing weight gain. After the initial eight weeks, the dieters lost an average of 11kg. But after 6 months, they re-gained around 0.5kg. Only those on the high protein/low glycaemic index diet managed to maintain their new weight...

Words: 667 - Pages: 3

Free Essay

The One Minute Manager

...Low Glycemic Index food LIST (GI < 55) [pic] | Food Type |GI |Food Type |GI | |Chili |10 |Pears |38 | |Cabbage |10 |Tomato soup, tinned |38 | |Mushroom |10 |Plums |39 | |Onions |10 |Ravioli, meat filled |39 | |Yogurt low-fat (sweetened) |14 |Carrots, cooked |39 | |Peanuts |15 |Frozen green peas |39 | |Walnuts |15 |*Snickers bar |40 | |Artichoke |15 |Apple juice |41 | |Asparagus ...

Words: 314 - Pages: 2

Free Essay

Abdominal Development

...* Remove grains from the diet ( Breads) , also whole grain doesn't make it much better because most of the fiber has still been taken out. * You generally want to stick with slow digesting foods (Low GI foods) during every part of the day except around strenuous activity like a workout, where you should have a fast digesting carb (High GI food) mainly after and during a workout. * Low GI Foods - most dairy products, most fruits and vegetables, whole unrefined grains and sprouted grains, sweet potatoes, barley, beans, and most other higher fiber carbohydrate sources. * High GI Foods - white rice, white bread, white potatoes, low fiber cereals such as corn flakes and crispy rice cereals, sugars (except fructose), ice cream, bananas, cooked carrots, candy, cakes and other baked goods, and any other refined carbohydrates where the fiber has been removed. * After workout have a shake with whey protein isolate & some frozen fruit as your carb source, or if you don't have time a dextrose blend. * Adding a higher GI food with healthy fats and protein sources will slow down the speed at which that sugar is broken down, as opposed to if it was eaten on its own. * The more fiber that the food contains, the slower it will digest. * You want to eat products that contain at least 2 grams or more of fiber per each 10 grams of total carbohydrates. * Eliminate pasta & rice from your diet and instead eat a protein source with a fibrous vegetable source. ...

Words: 2917 - Pages: 12

Free Essay

Used

...Let the Glycemic Gourmet help you grocery shop! BREADS  100% Whole Wheat Bread  High Fiber Crisp breads (e.g. Ryvita) (stone ground)  Whole Wheat Hamburger Buns (small)  Whole Wheat Tortillas (small)  Whole Wheat Pitas CEREALS  Oatmeal (old-fashioned steel-cut oats)  Mushrooms  Spinach (fresh or frozen)  Peas (fresh or frozen)  Zucchini  Cucumber  Green Beans  Asparagus DAIRY  Skim Milk  Whole Eggs (and/or Liquid Egg  Soft Margarine (light, nonhydrogenated) Whites)  Canned Tomatoes (diced and/or whole)  Oat Bran  Kashi Go Lean  Fiber 1 (or Fiber First)  Grape Nuts  All-Bran Original  All-Bran Bran Buds FRESH FRUIT  Apples  Oranges  Pears  Peaches  Grapes  Strawberries (fresh or frozen)  Raspberries (fresh or frozen)  Blueberries (fresh or frozen)  Cherries  Bananas  Lemons  Limes FRESH VEGETABLES  Ginger  Garlic  Lettuce  New Potatoes  Tomatoes  Carrots (baby & regular)  Celery  Onions (red and/or white)  Green Onions  Bell Peppers  Cherry Tomatoes  Broccoli  Cauliflower (red/green/orange/yellow)  Yogurt (low/non-fat, no sugar  Low Fat Cheese  Extra Low Fat Cheese (e.g. Laughing Cow Light) added)  Ice Cream (low/non-fat, no sugar MEATS  Boneless Skinless Chicken Breast  Boneless Skinless Turkey Breast  Lean Deli Ham  Pork Tenderloin (or other lean  Extra Lean Ground Beef  Beef Top Sirloin or Eye Round Steak SEAFOOD  Cod (or other white fish)  Salmon  Crab Meat (fresh or canned) ...

Words: 416 - Pages: 2

Free Essay

Week2 - Ilab

...unpleasant issues can now be removed Research suggests that monk fruit is high in antioxidants. It may have some positive effects on preventing cancer. It has also been shown to reduce the effects of Epstein-Barr virus. The carbohydrates from monk fruit are largely glucose and fructose. The US FDA (Food and Drug Administration has rated the monk fruit and its extracts as GRAS (Generally Regarded As Safe). Marketed under the name “Nectresse” McNeil Nutritionals, which also markets "Splenda", the nation’s top selling low calorie sweetener has come out with “Nectresse”. Supposedly “Nectresse” is an all-natural sweetener,. “Nectresse” contains four different ingredients the first being erythritol, one of the sugar alcohols - erythritol has a glycemic index of zero and provides 0.2 calories per gram. The...

Words: 530 - Pages: 3

Premium Essay

Life Style Inventory Report

...to maintain position through security needs by task-related activities. After taking the LSI survey my primary and secondary styles of thinking fall under aggressive/defensive thinking. My limiting style of thinking falls under passive/defensive thinking. My primary thinking style, power, measures your self-worth to a degree that we can control and dominate others. Power thinkers lack confidence in others and try to establish their feelings of self-importance. Power thinkers are characterized to be aggressive and to have a rigid way of thinking. Power thinkers have a high need for control, power, prestige, and status. Power thinkers dictate the actions of others and they are threatened by undermined authority. Consequently, the qualities I found to be true about me regarding power is that I have a lot of aggression, lack confidence in others, and I have a high need of control and influence. At work I like to influence my coworkers to strive high and push towards things that they will improve their lives. I like to try and control my relationships and daily activities. Also, I have a tendency of trying to control situations that I have no control over. Furthermore, I disagree with the power style characterization. I use power to keep my daughters in line and my life in order. I...

Words: 1864 - Pages: 8

Premium Essay

Titlev11

...levels are at analyzing the environment? 2. “To manage transactions with the organizational environment effectively, managers should chart the forces in the organization’s specific and general environments, noting (a) the number of forces that will affect the organization, (b) the pattern of interconnectedness or linkages between these forces, (c) how rapidly these forces change, and (d) the extent and nature of competition, which affects how rich or poor the environment is.” (Managerial Implications, p. 73) Conduct a specific analysis of Yahoo’s environment, identifying each of the 4 factors listed above. 3. “Taking that analysis, managers should plan how to deal with contingencies. Designing inter-organizational strategies to control and secure access to scarce and valuable resources in the environment in which they operate is the first state in this process” (Managerial Implications, p. 73) 4. How is Resource Dependence Theory illustrated in Yahoo’s relations with its environment? 5. Illustrate the concepts of symbiotic and competitive interdependence, using Yahoo’s case history. Did Yahoo effectively manage its interdepencies? 6. As a consumer, how would you rate Yahoo against its major competitor Google? Why? Part I. Identification of Problems (2-4 pages) Using only the information provided in the case, identify and explain the problems that the company is having. In...

Words: 319 - Pages: 2

Premium Essay

Pdf, Doc.

...Telstra suffered from an embarrassing situation which risked losing its position of dominance. The main reason for this is that its management structure, that is, classical management. The report will argue that the problem of classical management and offer a recommendation for this situation. From this case, it is clearly to identify the management problem is that classical management. There are some facts, which can prove this. One of the fact is that the organization assets were privatised in a way that allowed the organization to function as a monopoly. In addition, another fact is that Telstra block competitors' access to the network. Both of these examples emphasize Telstra aimed at controlling others. Telstra control market by controlling competitors in order that it is a monopoly. According to William C, the classical management focus is controlling others(1992). In terms of investment, Telstra invest $300 million in upgrading network, and they want to get all providers to use this network. This means Telstra maximize return on investment, they also focus on short-term goals. William C stated that the classical management revolves managers are seen as keepers of scorecards who manage toward short-term goals and they maximize return on investment(1992). All of this facts are in accordance with classical management models. In view of the above-mentioned facts, a recommendation is provided. Telstra should adopt new paradigm management. According to William C, the...

Words: 418 - Pages: 2

Premium Essay

Gm520

...the storage of products, and their primary purpose is to maximize the usage of available storage space. Distribution centers emphasize the rapid movement of products through a facility, and they attempt to maximize the throughput. 4. Cross-docking is a process where a product is received in a facility, occasionally married with product going to the same destination, then shipped at the earliest opportunity, without going into long-term storage. This could affect warehousing design as cross-docking is more desirable by allowing more receiving and outgoing delivery doors, or a bigger floor space to handle more product movements. 6. The advantages of private warehousing are: cost is spread over more units of inventory, more control over storage needs, control over product placement within the facility, and access to product whenever the company needs. A few disadvantages are: initial cost is very high, fluctuating demand means loss of productive space, high interest rates cause more cost for financing, and a reduction in the company’s flexibility in relation to their external environment. 11. The trade-off between order-picking versus stock-replenishing is: keeping both teams working on the same floor at the same time will save on managerial personnel being needed, it will also cause congestion. 18. To start with, hazardous materials means that enhanced security focusing on people, facilities, and processes must occur. Secondly, proper documentation and signage needs to be able...

Words: 273 - Pages: 2

Premium Essay

Doc, Pdf

...INTRODUCTION Every human been has several needs and desires. But no individual can satisfy all his wants. Therefore, people work together to meet their mutual needs which they cannot fulfill individually. Moreover, man is a social being as he likes to live together with other people. It is by working and living together in organized groups and institutions that people satisfy their economic and social needs. As a results there are several types of groups, eg..; family, school, government, army, a business firm, a cricket team and the like. Such formal groups can achieve their goals effectively only when the efforts of the people working in these groups are properly coordinated and controlled. The task of getting results through others by coordinating their efforts is known as management. Just as the mind coordinates and regulates all the activity of a person, management coordinates and regulates the activities of various members of an organization. Every organization, regardless of size, has developed and implemented its own management in order for it to run smoothly and accomplish the vision, goals and objectives it has set forth. As such, the basic function of management, broken down into four different areas, allow for it to handle strategic, technical and operational decisions for the organization. The four function of management are: planning, organizing, directing and controlling. PLANNING Planning is the core area of all function of management. It is the foundation...

Words: 378 - Pages: 2

Premium Essay

Lockbox Ethics Paper

...in our Contemporary Management textbook, our class was assigned to determine if Mr. Edens’ behavior was ethical and acceptable or unethical and unacceptable. Secondly, we needed to provide the rationale for our answers and provide examples. Mr. Edens has created a highly controlled workplace with close manager supervision and surveillance. Even though I don’t agree with this environment, I think Mr. Edens’ behavior has been ethical and acceptable. Lockbox Processing: No Place to Hide Mr. Edens’ company, Electronic Banking System Inc., specializes in “lockbox processing.” Due to the sensitive nature of this financial service, Mr. Edens has implemented many controls to monitor his employees. Workers handle thousands of dollars in checks and cash, and thus they need to be monitored closely. These controls are designed to limit theft which reassures customers that their money is safe. Managers sit at the front of the room on raised platforms; other supervisors watch employees from the rear. While some may consider this approach intrusive, these techniques exist in many workplaces today where employees come in direct contact with money. Mr. Edens’ employees work in an area called “the cage.” No talking is permitted, the windows are covered, and many common items that workers usually have at their desks are banned. Mr. Edens is able to monitor this environment with a series of eight cameras which have the ability to zoom in closer on employee’s activities. Personally...

Words: 693 - Pages: 3