1. Department of Nursing, College of Medicine, Tzu Chi University, Hualien City, Taiwan
2. Department of Public Health, Tzu Chi University, Hualien City, Taiwan
3. Department of Family Medicine, Hualien Tzu Chi Hospital, Hualien City, Taiwan
4. Department of Medical Humanities, School of Medicine, Tzu Chi University, Hualien City, Taiwan
5. Department of Communication Studies, Tzu Chi University, Hualien City, Taiwan