Background: Management by wandering around (MBWA) involves managers spending time walking around the workplace and listening to staff concerns and suggestions. MBWA has the potential to enhance excellence, nurse engagement, and patient care outcomes. Effective use of MBWA by nurse leaders can improve organizational performance and nurse satisfaction and benefit the healthcare organization. Aim: The study aimed to investigate the relationship between management by wandering around, organizational excellence, and work engagement among nurses. Research Design: A descriptive correlational research design was utilized. Setting: The study was conducted at Menofia University Hospital in all inpatient departments and critical care units. Sample: A convenience sample of 302 nurses. Tools of data collection: Three tools were employed, namely, Management by Wandering Around Questionnaire, Organizational Excellence Questionnaire, and Utrecht Work Engagement Scale. Results: The study revealed that nurses reported moderate levels of MBWA implementation (mean score: 95.78), low levels of organizational excellence (mean score: 71.31), and low levels of work engagement (mean score: 27.45). Conclusion: A highly significant positive correlation was found between the MBWA and organizational excellence and also with work engagement among nurses. Recommendations: The study recommended that hospital administrators organize training programs to enhance nursing leaders' skills in implementing the MBWA approach. Additionally, establishing a transparent feedback mechanism for nursing staff is suggested to foster open communication and facilitate continuous improvement.