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Donald (Chip) E. Bailey Jr., PhD, RN, FAAN

Associate Professor
Co-Director, ADAPT Center for Cognitive/Affective Symptom Science and Director, Scholarship and Mentoring Core, ADAPT Center
(919) 681-3003
3133 Pearson Building

Donald “Chip” Bailey Jr., PhD, RN, FAAN is an Associate Professor in the Duke University School of Nursing, Senior Fellow in the Duke Center for the Study of Aging and Human Development, and Claire M. Fagin Fellow. His research program has focused on self-management in patients with serious life-limiting illnesses such as prostate cancer, chronic hepatitis C, or end stage liver disease. Currently he is testing the efficacy of an Uncertainty Management Intervention delivered via telephone to patients and caregivers as they wait for a liver transplant. This NINR-funded, 5-year randomized controlled trial will enroll 240 patients and caregivers. His recently funded 2 year NINR study will examine self-management during gene guided therapy (IL28B) for patients with chronic hepatitis C that undergo treatment with two newly approved protease inhibitors.

In 2008, Dr. Bailey participated in the Duke Faculty Fellows Seminar Program, a year-long faculty-in-residence program, sponsored by the Duke Social Science Research Institute. Dr. Bailey’s research project sought to understand the treatment decision making processes of men newly diagnosed with early stage prostate cancer. He continues that work in a series of randomized experiments administered via an online questionnaire to examine the way in which a variety of labels make monitoring (rather than invasive treatments) more appealing to men at risk for prostate cancer.

He also served as a Core Director for the Center of Excellence in Geriatric Education at Duke University School of Nursing and as a faculty representative to the National Task Force on the revision of The Essentials of Baccalaureate Education for Professional Nursing Practice – AACN (2008) and on the expert panel to revise the document, Older Adults: Recommended Baccalaureate Competencies and Curricular Guidelines for Geriatric Nursing Care - AACN/John A. Hartford Foundation (2010). In 2009 Dr. Bailey received the Distinguished Nursing Achievement Award from Emory University, Nell Hodgson Woodruff School of Nursing. He is completing a two year term as the Coordinator for the Advanced Nursing Research Special Interest Group for the Oncology Nursing Society. He was inducted as a Fellow of the American Academy of Nursing in 2012.

Academic Program Affiliations

  • PhD in Nursing Program
  • Doctor of Nursing Practice Program


  • PhD - The University of North Carolina at Chapel Hill, School of Nursing
  • MN - Emory University, Nell Hodgson Woodruff School of Nursing
  • BS - Barton College (NC)

Research Interests

Dr. Bailey’s research interests include aging and chronic illness, men’s health, and psycho-oncology. He is particularly interested in the development and evaluation of psychoeducational nursing interventions to improve quality of life in patients with serious chronic illness by increasing their capability to self-manage uncertainty, distress, and symptoms associated with their disease.

His earlier research focused on patients with chronic illness who elected active surveillance (“watchful waiting”) protocols to manage their disease. Under an active surveillance protocol, patients who have little to gain from standard medical or surgical treatment choose to be monitored at regular intervals for disease progression without undergoing these therapies, retaining the option to move to more aggressive treatments if monitoring reveals significant progression of illness. Such patients may experience high levels of uncertainty. Dr. Bailey has developed and tested psychoeducational interventions that use cognitive reframing techniques to reduce uncertainty and improve quality of life in patients being treated for localized prostate cancer and chronic hepatitis C under AS protocols.

Dr. Bailey is now engaged in a 5-year intervention study testing the efficacy of a tailored uncertainty management intervention for improving the disease management and medical decision-making capabilities in a population experiencing extreme illness-related uncertainty: patients with end stage liver disease (ESLD) awaiting liver transplant. An Uncertainty Management Intervention is being tailored specifically for this these patients and their caregivers. The efficacy of this intervention, which will be delivered via telephone by a nurse to the patient awaiting a liver transplant and his or her caregiver, will be tested in a randomized controlled trial involving 120 patient/caregiver dyads. The overall goal of this project is to improve symptoms and quality of life for these understudied and vulnerable patients and their caregivers by giving them the resources and tools to self-manage their complex concerns.

Awards and Honors

  • 2012 || Distinguished Alumni Award, University of North Carolina School of Nursing
  • 2012 || Fellow, American Academy of Nursing
  • 2011 || Featured in “A Day in the Life of an Academic Geriatric Nurse", John A. Hartford Foundation 2010 Annual Report: "BAGNC: A Decade of Achievement"
  • 2011 || State of the Science Lectureship, 11th National Conference on Cancer Nursing Research, Oncology Nursing Society
  • 2009 || Distinguished Nursing Achievement Award, Emory University, Nell Hodgson Woodruff School of Nursing
  • 2007 || Research Mentor Designee, American Cancer Society/Oncology Nursing Society
  • 2004 || Award for Best Stand Alone Geriatric Nursing Course in Baccalaureate Education, AACN/John A. Hartford Foundation Institute for Geriatric Nursing
  • 2001 || Kellett Long Term Care Nursing Scholarship, UNC School of Nursing
  • 2001 || Linda Waring Matthews Oncology Nursing Scholarship, UNC School of Nursing
  • 2000 || Undergraduate Student Award in the Teaching and Integration of Advanced Nursing Knowledge, UNC School of Nursing
  • 1999 || Nursing Research Award, Sigma Theta Tau International – Theta Iota Chapter, Barton College
  • 1997 || Dissertation Research Award, Oncology Nursing Foundation
  • 1986 || Member, Sigma Theta Tau, International Honor Society of Nursing

Areas of Expertise

  • Chronic Illness
  • Gerontology
  • Oncology

Representative Publications

  • 2015 -- PubMed # : 26436297 Jenko, M. and Adams, J. A. and Johnson, C. M. and Thompson, J. A. and Bailey Jr, D. E. Facilitating Palliative Care Referrals in the Intensive Care Unit: A Pilot Project. Dimens Crit Care Nurs. Nov-Dec, 2015 34(6); 329-39
  • 2015 -- PubMed # : 26062925 Hendrix, C. C. and Bailey Jr, D. E. and Steinhauser, K. E. and Olsen, M. K. and Stechuchak, K. M. and Lowman, S. G. and Schwartz, A. J. and Riedel, R. F. and Keefe, F. J. and Porter, L. S. and Tulsky, J. A. Effects of enhanced caregiver training program on cancer caregiver's self-efficacy, preparedness, and psychological well-being. Support Care Cancer. June, 2015
  • 2015 -- PubMed # : 25647829 Anderson, R. A. and Bailey Jr, D. E. and Wu, B. and Corazzini, K. and McConnell, E. S. and Thygeson, N. M. and Docherty, S. L. Adaptive leadership framework for chronic illness: framing a research agenda for transforming care delivery. ANS Adv Nurs Sci. April-June, 2015 38(2); 83-95 PMC4417005
  • 2015 -- PubMed # : 25751114 Bryant, A. L. and Smith, S. K. and Zimmer, C. and Crandell, J. and Jenerette, C. M. and Bailey Jr, D. E. and Zimmerman, S. and Mayer, D. K. An exploratory path model of the relationships between positive and negative adaptation to cancer on quality of life among non-Hodgkin lymphoma survivors. J Psychosoc Oncol. 2015 33(3); 310-31 PMC4455022
  • 2014 -- PubMed # : 25280230 Colagreco, J. P. and Bailey, D. E. and Fitzpatrick, J. J. and Musil, C. M. and Afdhal, N. H. and Lai, M. Watchful waiting: role of disease progression on uncertainty and depressive symptoms in patients with chronic hepatitis C. J Viral Hepat. October, 2014 21(10); 727-33
  • 2014 -- Zucker, D. M. and Bailey, D. E. Jr. American Academy of Nursing: Hepatitis C testing in the birth cohort 1945-1965: Have you been tested? Nursing Outlook. September-October, 2014 62(5); 371-373
  • 2014 -- PubMed # : 24969246 Bailey Jr, D. E. and Wallace Kazer, M. and Polascik, T. J. and Robertson, C. Psychosocial trajectories of men monitoring prostate-specific antigen levels following surgery for prostate cancer. Oncol Nurs Forum. July, 2014 41(4); 361-8
  • 2014 -- PubMed # : 24655938 Adams, J. A. and Anderson, R. A. and Docherty, S. L. and Tulsky, J. A. and Steinhauser, K. E. and Bailey Jr, D. E. Nursing strategies to support family members of ICU patients at high risk of dying. Heart Lung.
  • 2014 -- PubMed # : 24702718 Carthron, D. L. and Bailey D. E. Jr. and Anderson, R. A. The "invisible caregiver": multicaregiving among diabetic African-American grandmothers. Geriatr Nurs. March-April, 2014 35(2 Suppl); S32-6
  • 2014 -- PubMed # : 24368236 Harrington, J. M. and Schwenke, D. C. and Epstein, D. R. and Bailey, D. E. Androgen-deprivation therapy and metabolic syndrome in men with prostate cancer. Oncol Nurs Forum. January, 2014 41(1); 21-9


Grant Funding (Selected)

  • Scholarship and Mentoring Core

    National Institutes of Health
    09/2012 to 06/2017
    Role: Director, Scholarship and Mentoring Core

    The Center of Excellence (P30), “Adaptive Leadership for Cognitive/Affective Symptom Science
    (ADAPT) at Duke University School of Nursing (DUSON), will promote biobehavioral research to advance symptom science using a new lens—the Adaptive Leadership (AL) framework—to conceptualize and study cognitive/affective symptoms, and/or intervene in ways that promote patients’ and their family caregivers’ adaptive abilities.

  • Defining Adaptive Leadership in Chronic Illness using Paradigm Case Formation Methodology

    Duke University School of Nursing Office of Research Affairs Small Grant
    09/2012 to 09/2013
    Role: Principal Investigator

    Project Aims: This study aims to identify and define the concepts and attributes of the adaptive leadership frameworks when applied to in chronic illness. At a minimum, these concepts include technical challenge, adaptive challenge, technical work, adaptive work, and adaptive leadership. We will also describe the paradigm case and the allowable transformations, and parameters for adaptive leadership concepts applied to in chronic illness.

  • Patient self-management and gene guided therapy for CHC

    National Institutes of Health
    04/2012 to 03/2014
    Role: PI

    Project Goals: This 2 year exploratory mixed-methods longitudinal case study (n=18) will describe patients’ and providers’ explanations of how and why they engage in technical work (T-WORK) and adaptive work (A-WORK), and adaptive leadership (A-LEAD) and how these strategies promote or pose barriers to patients’ SM in the context of the new genetic marker and treatments. Specific aims are to: 1) Examine how T-WORK, A-WORK and A-LEAD influence patients’ perceptions of their likelihood of cure and how this work relates to SM during 24 weeks of treatment for CHC; 2) Describe providers’ use of T-WORK and A-LEAD approaches during clinical encounters and 3) Describe the trajectories of illness perceptions, symptoms, viral load, and SM in relation to patient and provider reports of T-WORK, A-WORK and A-LEAD from the index clinical encounter to the follow-up treatment response encounter (approximately 24 weeks).

  • Family Perceptions of Nursing Strategies to Facilitate End-of-Life Decisions

    National Institutes of Health
    08/2012 to 07/2014

    Project Aim: This study aims to explore how family members respond to nursing strategies to support EOL decision-making, including family members' perceptions of the strategies nurses use, how these strategies change over the trajectory of decision-making, and how these strategies affect their ability to make decisions consistent with the goals of the patient and their ability to cope with the stress of making EOL decisions.

  • Prostate Cancer Treatment: The Role of Branding in the Decision-making Process

    SSRI Small Grant
    06/2009 to 05/2011
    Role: PI

    This study will explore prostate cancer treatment decision making among males age 50 years of age and older without disease by having men select the best treatment option for them and then ask them to rank order a list of prostate cancer treatment options. In a second aim we will explore how the manipulation (different names for different participants) of the treatment name “active surveillance” matters in prostate cancer treatment decision making.

  • Exploring Cognitive Processing Difficulties in Patients with Hepatitis C Virus Experiencing Fatigue

    ORA Small Grant
    06/2009 to 05/2011
    Role: PI

    This study will explore and identify patients with cognitive processing difficulties as measured by a battery of instruments focused on attention, reasoning and problem solving, processing speed, verbal memory, and working memory. Further we will explore the relationship of these cognition processing difficulties with stage of disease, fatigue and quality of life.

  • Uncertainty Management Intervention for Patients Waiting for a Liver Transplant

    National Institutes of Health
    09/2008 to 07/2013
    Role: Project Director (PI of Intervention Study #2)

    Project Goals: The Center for Self-Management in Life-Limiting Illness (PI James Tulsky) will oversee three intervention studies that address the medical, emotional and role components of self-management. Project 2, “Uncertainty Management in Patients Awaiting Liver Transplant,” (D.E. Bailey, Jr., Project Director) helps patients awaiting liver transplant cope emotionally with uncertainty.

  • Development and Testing of a Web-based Uncertainty Management Intervention for Men with Prostate Cancer Undergoing Active Surveillance

    American Cancer Society
    12/2007 to 11/2008
    Role: Co-Investigator

    The specific aims of this project are to develop an uncertainty management intervention that is web-based for men undergoing active surveillance for prostate cancer by: adapting an existing uncertainty management intervention for web delivery in conjunction with a webmaster and by assessing the website for clinical accuracy, relevance, clarity and importance. (Meredith Wallace, PI; D.E. Bailey, Jr., Co-I)

  • Uncertainity and Watchful Waiting in Chronic Hepatitis C

    National Institutes of Health
    09/2005 to 08/2009
    Role: PI

    Project Goals: The specific aims are to: 1) identify potentially distinct classes of trajectories (e.g., stable, declining, improving) of CHC-related symptoms and quality of life among patients who are watching, waiting and monitoring, and to identify the demographic and illness markers associated with particular trajectories of change; 2) examine the associations of these symptom trajectories and QOL with illness uncertainty; and 3) explore the concerns of patients living with chronic hepatitis C that may be unique and unaddressed with quantitative measures.

  • GNIRC Pilot: Diffusion of Innovations Measurement for Translational Science in LTC: LPNs & CNAs

    National Institute of Nursing Research P-30
    2P30 NR03979
    07/2005 to 07/2007
    Role: Co-Investigator

    Project Goals: The goal of this study is to develop and test a set of measures representing three domains within the DoI framework to assess readiness for adoption of evidence-based practices in LTC by paraprofessional staff. The study complements a study recently funded by the Duke University TRAC Center that will develop DoI measures for use by RNs.


Monday, July 9, 2018

Margie Molloy, Michael Cary, Jill Brennan-Cook, Christine Tocchi, Chip Bailey, Marilyn Oermann and staff member Danett Cantey recently published an article entitled "Preparing Clinicians for Transitioning Patients Across Care Settings and Into the Home Through Simulation" in Home Healthcare Now.


Tuesday, June 12, 2018

Chip Bailey was recently selected to join the Leadership for Academic Nursing Program (LANP) by the American Association of Colleges of Nursing (AACN). 

Wednesday, April 25, 2018

The Oncology Nursing Society (ONS) recently hosted North Carolina Advocacy Day 2018.

Susan Schneider gave the opening remarks highlighting the goals of the ONS Center for Advocacy and Health Policy, Brenda Nevidjon presented "Advocacy: If not you, Who?; If not now, When?" Chip Bailey presented "Advocating for Health Policy as an ONS Board Member" and AnnMarie Walton presented "Advocating for Safe Handling of Hazardous Drugs." 

Thursday, August 3, 2017

DUSON faculty and PhD students recently traveled to Dublin, Ireland for the 28th International Nursing Research Congress sponsored by the Sigma Theta Tau International Honor Society of Nursing.

Thursday, March 16, 2017

Kudos to Chip Bailey and Shawn McClintock for their NIH R21 resubmission entitled “Preparing Carepartner Adaptive Strategies for Health (PREPARE)." This proposal requests funding for a two-year period with a start date of December 1,  2017.

Tuesday, November 22, 2016

More than 14 faculty, staff and PhD students presented at the 2016 Gerontological Society of American (GSA) Annual Scientific Meeting in New Orleans, LA. According to GSA, more than 3,600 international experts attended thr premier gathering of gerontologists from both the United States and around the world. Attendees participated in over 450 scientific sessions including symposia, paper and poster presentations.

The following faculty, staff and PhD students presented at the conference:

Friday, September 16, 2016

More than 12 faculty and staff members, and several PhD alumni and students presented at the 2016 State of the Science Congress on Nursing Research presented by the Council for the Advancement of Nursing Science (CANS) in Washington, D.C. This year's event focused on Determinants of Health and their implications for nursing science and health policy.

The following faculty, staff and PhD alumni and students presented at the conference:

Tuesday, June 14, 2016

From the Center for Nursing Research...

Good News! Bailey and McClintock Application Submission

  • Kudos to Chip Bailey and Shawn McClintock with University of Texas Southwestern and their entire team for their Multi-PI, NIH R21 application entitled “Preparing Carepartner Adaptive Strategies for Health (PREPARE)." This proposal requests funding for a two-year period with a start date of April 1, 2017.
Wednesday, May 25, 2016

We’ve all seen the Facebook or YouTube video of a person who has just completed cancer treatment and is overcome with joy, ringing the bell and sounding the alarm that treatment is done. What often moves us, in addition to the patient’s celebration, are the joyful and sometimes tearful faces of the oncology nurses.

Oncology nurses are at the forefront of cancer care every step of the way – in explaining the diagnosis, administering treatments, managing side effects, supporting patients and their families, rejoicing during triumphs and offering words of comfort.

Tuesday, May 17, 2016

The month of May isn’t just about recognizing mothers and nurses. It is also designated as Older Americans Month. This is a time to acknowledge the perennial contributions of older adults to our nation. This year’s theme is “Blaze a Trail,” which hopes to raise awareness on important issues facing older adults such as civic engagement, finances and wellness.