Purpose: The purpose of this study was to explore the relationship among perceptions, barriers, spiritual care competency, and demands on health care providers. Method: The study employed a cross-sectional design and utilized a convenience sampling method to select participants, with data collection conducted using a structured questionnaire. A total of 240 questionnaires were distributed, and 222 valid questionnaire responses were collected, yielding a return rate of 92.5%. Result: The findings of the research indicate that perceptions of hospice care, perceived barriers, spiritual care competence, and demands of health care providers were found to be positively correlated to a significant degree. The findings showed that participants who had high scores in perceptions of hospice care, knowledge of spiritual care, perceived barriers, and self-awareness of spiritual care also had high scores in the "education and support" dimension of demands. The participants who scored high in on-the-job education had low scores in the "education and support" dimension of demands, with this difference being statistically significance. The participants attaining high scores in hospice care awareness, barrier, and spiritual care self-awareness scored high in the demands of the "clinical care and referral" dimension, reaching statistical significance. Conclusion: The results may offer insights into healthcare providers' perceptions, barriers, spiritual care competency, and demands of hospice care. Healthcare providers have been increasingly expected to be competent in delivering spiritual care. We suggest that hospitals recruit spiritual care workers, and encourage healthcare providers to participate in hospice care or spiritual care training. The aim is to provide an interdisciplinary team that delivers holistic care to patient with terminal illnesses.