Nursing Research Paper Sample on The Effect of Executive Walk Rounds on Nurse Safety Climate Attitudes

Patient Safety: Who Guards the Patient? : The effect of executive walk rounds on nurse safety climate attitudes: A randomized trial of clinical units


            The research focuses on the how executive walk rounds (EWRs) enhance safety culture within various hospitals and other health institutions. According to the research, many health institutions are currently implementing executive walk rounds that are not well understood on how they will boost patient safety. Although EWRs may vary from one hospital to another, they are simply visited by institution executives to areas of patient care to hold discussions on the patient safety issues. EWRs are very significant for hospitals as they identify various opportunities to better patient care processes with the wisdom of nurses. It further demonstrates the management and the organization’s commitment to improving service provider attitudes as well as the safety of the patients. Therefore the research measures the impact of EWRs on the nurses’ attitudes concerning the safety climate in various health institutions (” A randomized trial of clinical units,” n.d.).

The measurement of this impact was conducted by a random study for EWRs for twenty-three clinical units under a certain tertiary care teaching institution. The participants were all providers except the physicians. As per the results obtained, those nurses who took part in the EWRs research responded more positively to most of the aspects of the survey. Upon analyzing the results, it’s explicit that EWRs contain a positive impact on the providers or nurses who took part in the walk round practices. Therefore, EWRs are very significant and promising tools towards the improvement of safety climate and the entire safety culture.

Evaluation of Research Methods

The research does not contain a literature review but instead it consists of background information. In the background, the author describes the importance of the EWRs to health institutions. The main reason behind these EWRs is to improve the attitudes of the service providers, thereby boosting patient care. It portrays the need for carrying out EWRs with the aim of improving patient safety in most of the hospitals. I think the information the author has provided in the background is very shallow. The author instead of providing the background information that only creates the scenery behind the EWRs, he/she should have introduced a literature review that could fully describe, summarize evaluate and clarify the major aspects of EWRs (Vincent, 2010).

The research is current and relevant to today’s health issues. The main objective of the research is to ascertain the Impact of EWRs on the viewpoints of the service providers. Today many nurses are faced with a lot of issues that have totally made them change their attitudes towards their service delivery. The tendency of nurses having negative attitudes is very dangerous to the safety of patients, as they will probably not provide the required care. Therefore, there is a need for hospitals to ascertain the influence of EWRs on the viewpoints of providers to boost them as a safety measure for the parents (“Overview: Patient Safety: Who Guards the Patient?” n.d.).

The research utilizes an experimental type of research. Experimental research is usually based on a certain methodology that satisfies three criteria. First, there is random assignment as the nurses were randomly selected from various departments. Secondly, there is experimental control in the sense that the conditions of carrying out the EWRs were identical. Finally, the experimental research methodology provides appropriate measures for the research question as it clearly portrayed the attitudes of the nurses who participated in their duties. Therefore, I agree with the methodology the author used in determining the results of the research problem.

According to the article, the author randomized the study of EWRs on 23 clinical units. The experiment was carried out in every nurse in these units. The EWRs were conducted on these nurses once every four weeks and extended for three visits by one of the executive. I think the sample size was not enough to produce the right results as it was taken from only one hospital (Vincent, 2010). Moreover, the results may be biased as the author did not consider the effect of environmental conditions. Many nurses from different hospitals of different levels could have carried out the research. By so doing, the issue of change in environmental and working conditions could be well catered for. Besides, it is difficult to learn someone’s attitude, as is a psychological behavior. This means that the research did not utilize sufficient time in studying the objects. The researcher should have obtained the results for more than five visits instead of three. Therefore, there is a chance that the results may be biased (National Patient Safety Foundation (U.S.), 2005).

The results obtained were in percentage form. I take these results to be practical in the sense that whenever you study them they will automatically lead you to the conclusion. Considering the results, almost all the responses from the nurses in the required fields were positive. Almost all of the results were 70% and above. The results obtained easily guides anyone analyzing them to the conclusion that EWRs contain a positive impact on the safety climate attitudes of nurses thereby increasing the level of patient safety in various hospitals(“The effect of executive walk rounds on nurse safety climate attitudes: A randomized trial of clinical units,” n.d.).

Although with some deficiencies, the research was conducted in an appropriate manner. To make it perfect, there is room for improvising this study. The duration of carrying out the research should be increased thereby allowing the researcher to obtain a variety of values whose average could depict the correct value of the variable measured. Moreover, the research should be carried out in different environmental conditions probably in different hospitals. The carrying out of the research in different hospitals will be able to bring out the correct result that will not be affected by the environmental conditions. I think by so doing, the study could be able to obtain accurate data that will automatically lead to the correct conclusion and recommendations (“Overview: Patient Safety: Who Guards the Patient?” n.d.).

The writing of the article is clear, precise and straightforward. The article first provides an outline of its contents, which summarizes the entire article. The outline precisely provides the key ideas under the background, the methods used, the results obtained and the conclusion that was reached. After, the outline, the author explains the contents of various topics in a simple and clear way that allows readers to understand easily and follow up the research. Besides, the results obtained are highlighted in the simplest manner allowing any reader to verify how the conclusion is reached. Therefore, the writing is clear and straightforward making it useful to many individuals who may read it, as they easily understand it (National Patient Safety Foundation (U.S.), 2005).

Executive walk rounds are widely used programs but one of the unstudied activity that is designed to boost the safety culture in health institutions. Many researchers have not carried out research on this topic meaning that there are many issues that need to be studied in this area.  Additionally in the recent times, the nurses’ attitudes matter much to what they deliver to their patients. Therefore, there is a need to study how executive walk rounds will boost the attitudes of these nurses so that to create a high safety culture in hospitals. Researchers, should, therefore, commit their selves in carrying out research in this area as it will improve the patients’ safety (“Overview: Patient Safety: Who Guards the Patient?” n.d.).


Although not so accurate, the research was conducted in the correct manner and obtained right results for coming up with the conclusion. The article is well organized in the sense that there is a flow of ideas. Additionally, the author has used a simple and clear language that makes the article easy to follow up and understand thereby making it useful to a larger portion of the society. The methodology of experimental research perfectly suits the research as it provides primary data that probably leads to making the right conclusion. Errors are a common aspect concerning any research; therefore, the research can be improved to its perfection by considering aspects. Aspects to be considered are the duration of data collection and diversification of the research areas to ensure that correct results are obtained. It’s also clear that this area of research has not been fully executed; therefore, researchers should commit themselves to researching in this field. Therefore, the research is right and significant as far as patient safety is concerned.


BMC Health Services Research | Full text | The effect of executive walk rounds on nurse safety climate attitudes: A randomized trial of clinical units. (n.d.). Retrieved from

National Patient Safety Foundation (U.S.). (2005). Journal of patient safety. Philadelphia, PA: Lippincott Williams & Wilkins.

Overview: Patient Safety: Who Guards the Patient? (n.d.). Retrieved from

Vincent, C. (2010). Patient safety. Chichester, West Sussex: Wiley-Blackwell.