Aims: This study explored spiritual care services in a hospital setting from multiple perspectives. Methods: This study used a descriptive qualitative method based on a social-ecological model. Participants were selected using purposive sampling and classified into intrapersonal (five patients), interpersonal (five family members), community (five nurses in charge), institutional (three nurse leaders and managers), and regulation (protocol or spiritual care guidelines). Data were collected through semi-structured in-depth interviews. Data analysis was performed to identify themes using Colaizzi’s method. Results: Themes were extracted according to the socio-ecological model, which was classified into intrapersonal, interpersonal, community, institutional, and public policy-related themes. These themes are patients’ spiritual care needs, spiritual care barriers, spiritual care facilities, spiritual care support, and spiritual care regulation. Conclusion: This study offers insights into spiritual care services, especially in hospitals located in rural areas. We suggest that providing spiritual care among patients and family members is crucial as part of the patients’ needs while they are in the hospital. Thus, spiritual care should be considered as a priority in healthcare services by providing spiritual care facilities, support, and policies. However, many challenges in providing spiritual care must be addressed.