“…In the United States, such organizations face a continually shifting environmental context, dependent on changing and uncertain state and national political forces. Increased demands to use resources more efficiently to provide continuous quality improvements in patient care have led healthcare researchers and practitioners to consider the role of HR as an integral component contributing to positive healthcare outcomes (Chuang, Dill, Morgan, & Konrad, 2012;De Koejier, Paauwe, & Huijsman, 2014;Gowen, McFadden, & Tallon, 2006;Jiang, Lepak, Hu, & Baer, 2012;Taylor et al, 2015). Strategic alignment of HRD is likely to be one such factor contributing to healthcare organizations' effectiveness in promoting positive patient outcomes.…”