Paternalistic leadership communication skills helps maintain the direct organizational  relationship among nurses as well as enhance the   organizational trust and quality of professional nursing  life.. Aim of the study: This study examines the relation between paternalistic leadership style, organizational trust and quality of professional life among hospital nurses. Method: Cross-sectional analytical research design was utilized to conduct this study.  Setting: the study was conducted in kidney diseases, urology hospitals & cardio thoracic university hospitals affiliated to Minia university,  Minia City, Egypt  Subjects:A convenient sample is used in the current study; their total numbers were 222 nurses. Tools: paternalistic leadership style practices, Organizational Trust Scale, and The Professional Quality of Life Scale.  Results:  showed that the studied nurses had  high paternalistic leadership style( 80.2%), moderate organizational trust (63.5%), and all of them had positive professional quality of life. Conclusion: paternalistic leadershipmanagement positively affects the quality of professional life through the gained trust among their staff nurses and it also acts as a predictor for healthy relationship that conveyed good professional quality of life. Recommendation:  Provide insight for managers, nurses, and human resource practitioners to help build high trust relationships in a health care setting, and hospital administrators should  concentrate on building positive interdepartmental relations.