... of contractual exchange between employer and employee. The middle managers role is to hold those opposing sets of expectations in tension. The point of the greatest dissonance will be at the position that is the furthest from each of the opposing sources, and in the centre of the managerial chain, in the middle...

... be contacted at: kguo@hawaii.edu © Emerald Group Publishing Limited 2007 Management roles Skills Competences Social services Leaders Hospitals The involvement of social work within the health care system has become more intrinsic today than ever before due to the changing needs...