Abstract
The predesign process identifies key stakeholders, evidence, benchmark hospitals, and design philosophies and goals that provide the foundation for a new healthcare facility and the framework for the postoccupancy evaluation. This recurring department expands nurse leaders' knowledge and competencies in health facility design and enables them to lead in design efforts. In this article, the predesign and postoccupancy evaluation processes are described as opposite ends of a continuum, but both are critical elements of the evidence-based design process.