Communication is essential for the survival of an organization. The management formulates strategies to ensure that the organization will get to where they want it to go. The strategy is then communicated to the co-workers through the line manager. But who is to say that the co-worker experience the message the same way as the line manager or the management for that matter? The purpose of this study is to investigate how the middle managers at Southern Älvsborg Hospital experience strategic internal communication and further how they communicate with their co-workers. Through a case study approach, the case being the communication of the hospitals research strategy, I conducted 13 interviews. I analyzed the material from the interviews using a hermeneutical approach and I used an interpretative approach to get a deeper understanding. The results show that the middle managers experience that the communication occurs through the transmission model. They also show an increased information overload, mainly due to e-mail. The middle managers strive for a sense making approach to communication and they believe that this is best achieved through meetings. Only half of them have communicated or will communicate the research strategy with their co-workers, using different strategies; 1) handing over the responsibility to a researcher, 2) handing over the responsibility to a research manager, 3) interpreting the information and dialoguing about it and 4) interpreting and dialoguing about the information and then working with it in various teams and thus reflecting on what it means for their own unit.