1. Department of Medical Education, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 97002, Taiwan
2. School of Medicine, Tzu Chi University, Hualien 97004, Taiwan
3. Department of Marketing and Distribution Management, Tzu Chi University of Science and Technology, Hualien 970302, Taiwan
4. Department of Nursing, Tzu Chi University of Science and Technology, Hualien 970302, Taiwan