Introduction: Developing communication in hospitals based on trust, would be improves nurses’ quality work life. Alongside this, if the organizational leaders' behaviors would be in regard to work spirituality and team work quality improvement, it will be bring up organizational trust in hospitals environments.

Aim: this study was conducted to analyzing relationship between spiritual leadership, team work and organizational trust among hospitals nurses who affiliated with Sanandaj University of Medical Sciences in 2014.

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Materials and Methods: This study was a descriptive-correlational that nurses (n=111) who worked in hospitals affiliated to the university of medical sciences in Sanandaj city, were selected through available sampling. Data collection tools were three questionnaires spiritual leadership, team work and organizational trust whose reliability and validity were approved. Reliability by &alpha- Chronbach were 0.74, 0.85 and 0.80 respectively. Data analysis was done through SPSS software by Pearson correlation test as well as path analysis.

Results: There was a positive and significantly relationship among spiritual leadership, team work and organizational trust in clinical nurse (p < .01). Feedback and following spiritual leadership dimensions, were the direct predictions of organizational trust ((p < .01). Also, the two dimensions of team work relationship and communication had intermediary role in performance feedback and membership with organizational trust. 

Conclusion: Based on the findings, nurse managers would be improve organizational trust among nurses by creating altruistic behaviors, providing proper performance feedback, improving sense of belonging and valuing. Also increasing solidarity and improving communications can help this purpose.