“…In this context, there is evidence that religiosity/spirituality, faith, and belief (Esch, 2008a , 2010 , 2011a , b ; Doolittle et al, 2013 ; Kim and Yeom, 2018 ; Carneiro et al, 2019 ), meaningfulness (Daniel, 2014 ; Fragoso et al, 2016 ; Esch, 2019 ; Scanlan and Hazelton, 2019 ), and the sense of coherence, which consists of the components meaningfulness, manageability, and understandability, are associated with low levels of burnout or stress and can promote wellbeing and mental health (Van der Westhuizen et al, 2015 ). In addition, preliminary research suggests that community (Maslach and Leiter, 2008 ; Cicognani et al, 2009 ), value congruence (Lindblom et al, 2006 ; Asensio-Martínez et al, 2017 ), and effort–reward imbalance (high ERI ratio) are also negatively associated with burnout and stress (Basińska and Wilczek-Ruzyczka, 2013 ; Tang et al, 2018 ). Consequently, according to Esch ( 2019 ), from a healthcare perspective, the description of burnout needs to be expanded to avoid evasive or vague designations as it occurs in the International Classification of Diseases (ICD-11, Hillert et al, 2020 ; WHO, 2021 ), where burnout is defined as an “occupational phenomenon,” and to properly and holistically describe, diagnose, treat, and prevent burnout (Esch, 2019 ).…”