Little more than half of NHS employees in Wales would be happy with the level of care provided by the health service if a friend or relative needed treatment.
The results of an NHS employee poll also show that a third of workers have been ill with stress in the past 12 months.
But it also emphasised staff dedication rates, with more than four in five saying they would be willing “to go the extra mile” for the organisation.
The survey was answered by more than a quarter (27%) of the 82,000-plus Welsh NHS workforce and is the first to be conducted since 2007.
It showed that 64% of NHS employees who responded said they were satisfied with their job, but fewer than half would recommend the NHS as a place to work.
Health minister Mark Drakeford said it “isn’t satisfactory” that just over half of people (52%) working in the Welsh NHS positively think that what they provide would be good for somebody in their family.
He said the poll painted a “mixed” picture.
Mr Drakeford said that the survey showed a “disconnect” between managers and employees on the front line.
He is also concerned about scepticism among staff that their opinions will be acted on.
RCN Wales associate director (employment relations) Peter Meredith-Smith said it has campaigned “long and hard” to get the NHS Survey in Wales reinstated, after it was abandoned some years ago.
He said that close scrutiny of the national report indicates an NHS in Wales that is under “significant” pressure, with frontline clinical staff are bearing the burden of it.
Mr Meredith-Smith added: “This survey will only be of benefit to the NHS and patients if action is taken to address the real issues that its results highlight.”
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