The COVID-19 outbreak has impacted global mental health and wellbeing; those severely affected are the healthcare workers (HCWs). Despite the overwhelming consequences, there is sparse knowledge on subjective opinions of HCWs on factors contributing to their stress. This study aimed to explore the opinions of HCWs on factors contributing to their psychological distress. We analysed thematically secondary data of the opinions and suggestions of HCWs, which were retrieved from the computerized

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... tal health monitoring system and online Psychosocial First Aid of the main admitting hospital for COVID-19 in Malaysia and its related healthcare facilities during the second wave of the pandemic. Data of 1290 HCWs indicated the main concerning themes were i) work safety and hazard; ii) organizational culture and behaviour; iii) appreciation and reward and, iv) their concern on public issues. These findings may inform hospital authorities to provide more effective service management to prevent psychological distress and address the relevant contributing factors to ensure the HCWs have optimum mental health during current and future disasters.