Spirituality is a search for meaning and purpose and is an important part of human experiences, especially at the end of life. However, research suggests that attention to spirituality is not being provided sufficiently to terminally ill patients, particularly by nurses. Economic constraints, inadequate staffing, educational inadequacies, and high-technology care de-emphasize the spiritual care of patients and cause nurses to focus on the physical domain. This study examined (a) how nurses perceived the difference between religiosity and spirituality, (b) what nurses' attitudes are toward spirituality, and (c) what barriers nurses encounter when providing spiritual care to terminally ill patients. The purpose of this phenomenological study was to explore attitudes and barriers of 10 registered nurses working with terminally ill patients in two southeastern counties in North Carolina. This study employed a qualitative research design using a questionnaire of open-ended questions. Data from the participants' interviews were collected, analyzed, coded, and separated into themes using the Colaizzi's (1978) method. Six themes emerged from the study: (a) their own connection or experience with a higher power, (b) importance of participants' spirituality, (c) spiritual impact on job performance, (d) relation between spiritual care and religion, and (e) barriers faced when providing spiritual care. The results of this study indicated a need for workshops and classes focusing on spirituality and spiritual care that would enable nurses to be more prepared to holistically care for terminally ill patients. Future research is needed to explore the diversity of cultures, religions, and languages in relation to spirituality and spiritual care. The social implication of this study suggests that nurses, families, educators, and community members effectively use spiritual care as a medium to promote social change.