The purpose of this study, the confidence of employees and managers of the organization's policies and procedures within the organization as a volunteer in a constructive manner and behavior is to examine the ongoing effort to change. For this purpose, field research and review of the literature was conducted. Confidence in the center of the social exchange to take place, taking into account confidence in the organization as a whole workers' organizations and employee organizations in expressing confidence shows social exchange. Managers rely on the employee's immediate supervisor represents social exchangeRelevant literature and field research performed using SPSS 19.0 software Microsoft Office Word program and directly benefiting from the transfer , interpret and summarize in health organizations with leadership and organizational commitment are describedHealth care workers at the hospital tasks to a large extent they do with financial concerns and the resulting income was found to affect the organizational commitment.This research organizations rely on the manager's commitment has been constructed in order to exert their influence on the lens. One of the variables of organizational culture, organizational commitment is affected. Research the organization, management and examining the concept of organizational commitment; confidence in organizations to manage the impact on employee commitment towards finding a literature study was conducted. Organizations rely on the manager's impact on employee engagement in the organization, in terms of continuity and employee productivity are essential.This research, the manager of the trust, organizational commitment contributed significantly to the assumption that it is organized.