Twenty eight percent of employees at University Hospital Limerick said they did not believe a friend or relative would get a good standard of care or service if they needed treatment there.
The hospital has been beset by overcrowding and embroiled in controversy this year, including damning failures that were revealed at an inquest into the tragic death of Aoife Johnston in 2022.
A survey carried out at UHL also detailed how staff were demoralised by media coverage and social media discussion of their workplace.
In one question, workers were asked if they would be happy with the standard of care a loved one would get if they needed treatment or admission at the hospital.
Nine percent said they strongly disagreed, 19 percent disagreed, and 20 percent said they were undecided about it.
In another question, UHL staff were asked if they would recommend the hospital as an employer for a friend or family member.
Ten percent said they strongly disagreed, 13 percent disagreed, and 19 percent said they were not sure.
Asked whether overall service provision at UHL was improving, 36 percent said it was deteriorating and 32 percent said it had remained the same over recent times.
The survey was conducted last year as part of biannual research carried out by the hospital on how staff feel.
UHL was approached early last week for a comment on the records but did not respond.