The document discusses different approaches organizations take to addressing culture issues, referred to as "the elephant in the room", and what makes a great employee and workplace. It identifies 5 approaches: ignoring the issue, wishing it away, using superficial tactics, prioritizing employee happiness over results, and aligning culture with objectives. The best approach aligns an engaged workforce with strategies and goals to maximize efficiency and potential. It also lists attributes of great employees and workplaces based on a survey, such as commitment, growth opportunities, appreciation, clear expectations, and open communication.