Tracey L. Yap, PhD, RN, WCC, CNE, FGSA, FAAN, is an associate professor in the Duke School of Nursing, and a Senior Fellow in the Duke University Center for the Study of Aging and Human Development. The overarching goal of her research is to improve the quality of care delivered by nursing staff, regardless of setting, and she aims to advance nursing’s ability to improve health care outcomes by increasing the mobility/movement of individuals through nursing’s use of cueing approaches, such as reminder messages and behavioral alerts. More specifically, she aims to understand and improve the processes that facilitate nursing staff implementation of evidence-based mobility/movement best practices that target common, yet seemingly intractable geriatric conditions, such as facility-acquired pressure injuries/ulcers. She has had research grant funding by Robert Wood Johnson Foundation, National Institute of Nursing Research, National Institute of Safety and Health, and The John A. Hartford Foundation. Dr. Yap teaches in the Doctorate of Nursing Practice program, and is a board member of the National Pressure Ulcer Advisory Panel. In recognition of her accomplishments, she was inducted into the American Academy of Nursing as a Fellow in 2015, and into the Gerontological Society of America as a Fellow in 2018.
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Tracey L. Yap, PhD, RN, CNE, WCC, FGSA, FAAN
Academic Program Affiliations
- PhD in Nursing Program
- Doctor of Nursing Practice Program
- PhD - University of Cincinnati College of Nursing
- BSN - Northern Kentucky University
Dr. Yap has a strong interest in translational science, and her scholarship has focused on understanding and improving the processes that facilitate nursing staff implementation of best practices for care in settings that range from occupational health care to long-term care.
Her initial research focused on developing and implementing a tailored behavioral intervention to increase intentional physical activity among workers in manufacturing settings. Then, with funding from the Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative, she developed a cost-effective, nurse-led intervention that reduced prevalence of pressure ulcers/injuries in long-term care facilities by increasing resident mobility through a prompting system specifically tailored to each facility using musical cues.
In the course of the RWJF study, Dr. Yap’s research team recognized that the occupational subculture of nursing in each facility played an important role in implementing the intervention, a discovery which led to development of the Nursing Culture Assessment Tool (NCAT), a new psychometric tool for evaluating the occupational subculture of nursing within an organization. She has since evaluated the clinical relevance of the NCAT to pressure ulcer prevention care practices by re-examining its content validity in this context and exploring focus group perspectives on its accuracy and appropriateness. Similarly, the NCAT has been validated in long-term care settings in the USA and the Scoring has been standardized. Dr. Yap is using the NCAT in her current NINR R01 that aims to determine the safest repositioning interval to prevent pressure ulcers/injuries.
Awards and Honors
- 2018 || Fellow, Gerontological Society of America
- 2018 || Mid-Career Researcher Award, Southern Nursing Research Society
- 2016 || Mid-Career Investigator Award, Southern Nursing Research Society (SNRS) Aging/Gerontology Research Interest Group
- 2016 || SciComm Fellow, Duke Initiative for Science & Society
- 2015 || Fellow, American Academy of Nursing
- 2015 || Rising Investigator Award, Southern Nursing Research Society (SNRS) Aging/Gerontology Research Interest Group
- 2014 || Selected participant, National Institute on Aging Butler-Williams Scholars Program
- 2013 || Selected participant, 2014 Leadership Development for Researchers, Duke Leader Program
- 2012 || Working Group Member, 2014 Pressure UIcer Guideline Development Group, National Pressure Ulcer Advisory Panel (NPUAP), European Pressure Ulcer Advisory Panel (EPUAP), & Pan Pacific Pressure Injury Alliance (PPPIA).
- 2012 || Claire M. Fagin Fellowship, National Hartford Centers for Gerontological Nursing Excellence
- 2012 || Inducted, Sigma Xi
- 2008 || Liberty Leadership Fund's Academic Scholarship, AAOHN Foundation
- 2008 || Physical Activity & Public Health Course Fellow, University of South Carolina
- 2007 || Physio-Control Academic Scholarship, AAOHN Foundation
- 2006 || Inducted, Sigma Theta Tau, Beta Iota chapter
- 2006 || Medtronic Academic Scholarship, AAOHN Foundation
- 2005 || T42-OH008432-02 doctoral training grant, National Institute of Occupational Safety and Health (NIOSH)
- 2004 || Graduate Student Scholarship, University of Cincinnati
- 2004 || T42-OH008432-01 doctoral training grant, National Institute of Occupational Safety and Health (NIOSH)
- 2003 || Kay Crist Nursing Scholarship, University of Northern Kentucky
Areas of Expertise
- Quality of Care / Patient Safety
- Translational Research
Areas of Interest
pressure ulcer prevention
2017 -- PubMed # : 28414584 Screening Commercial Vehicle Drivers for Obstructive Sleep Apnea: Tools, Barriers, and Recommendations. Workplace Health Saf. 65(10); 487-492
2017 -- Resident Vignettes for Assessing Care Quality in Nursing Homes Journal of American Medical Directors Association. 2017
2016 -- PubMed # : 27888966 Implementation of a Recovery-Oriented Training Program for Psychiatric Nurses in the Inpatient Setting: A Mixed-Methods Hospital Quality Improvement Study. Arch Psychiatr Nurs. 30(6); 722-728
2016 -- Implementation of a Recovery-Oriented Training Program for Psychiatric Nurses in the Inpatient Setting: A Mixed-Methods Hospital Quality Improvement Study Archives of Psychiatric Nursing. 2016
2016 -- Sustaining complex interventions in long-term care: a qualitative study of direct care staff and managers Implementation Science. 2016 11(1); 1-10
2016 -- Increasing Primary Care Access Close to Home for Residents of Remote Communities in Northern Alberta Healthcare Quarterly. 2016
Grant Funding (Selected)
Preventing pressure ulcers with repositioning frequency and precipitating factorsNational Institutes of Health, National Institute of Nursing ResearchR01 NR016001-01A107/2016 to 03/2021Role: PI
Determine differences in the incidence of new pressure ulcers in nursing home residents at low, moderate, and high risk using viscoelastic surfaces and repositioned at 2, 3, or 4 hour frequencies, in nine randomly assigned nursing homes
Adaptive and Technical Challenges Associated with Use of Nursing Home Resident Monitoring Technology in Pressure Ulcer Prevention: A Pilot Study.Duke University School of Nursing ADAPT Center Small Grant Program (funded by NINR/NIH)1P30 NR014139-0107/2015 to 06/2016Role: PI of pilot grant
This research addresses the unacceptably high rates of pressure ulcers acquired in U.S nursing homes. This study will advance our knowledge about effects of resident repositioning using technology that will facilitate staff with care delivery technical challenges. This study will also provide new knowledge about the residents’ response to repositioning, thereby leading to a deeper understanding of methods that are required to prevent pressure ulcers.
Implementing a Deliberate Practice Approach to Support Adaptive Dementia Care: A Comparison Study Between the U.S. and ChinaDUSON Office of Research Affairs International Research Awardn/a12/2014 to 12/2016Role: Co-investigator
This study examines the feasibility of using deliberate practice to teach adaptive cueing for dementia care to master trainers in both the US and China, as a strategy for large-scale workforce development in dementia care. The study is a critical step in preparation for an international PCORI application that will compare an adaptive leadership approach to basic dementia skills implementation to the deployment of task-specific workers (technical approach) in reducing neuropsychiatric symptoms of dementia during basic care.
The Turn for Ulcer ReductioN (TURN) study revisited: nutritional impact on pressure ulcer developmentTheodore J. and Mary E. Trumble Endowment, UT Health Houstonn/a01/2015 to 12/2015Role: Co-investigator
A secondary analysis of TURN trial data to investigate nutritional influences among long-stay nursing home residents at moderate or high-risk for pressure ulcer development.
Feasibility and Accuracy of Triaxial Accelerometers as a Measure of Turning, Repositioning, and Shifting MovementsUniversity of North Carolina Charlotte, Faculty Research Grant01/2014 to 01/2015Role: Co-investigator
Establish the feasibility of using accelerometers to validate movement that would be typical of LTC residents so that future research can then examine movement of patients at risk for developing pressure ulcers.
Psychometric Evaluation and Scoring Standardization of the Nursing Culture Assessment Tool and Evaluation of Workplace Relationships Affecting CultureUniversity of North Carolina Charlotte, Faculty Research Grant01/2014 to 01/2015Role: Co-investigator and Co-mentor
Extension of earlier work on NCAT that confirmed construct validity and dimensionality of the tools factors by now standardizing the scoring approach and establishing norm-referenced scoring.
Wide Area Patient Mobility Assessment Radar (PMAR) for Pressure Ulcer PreventionInformation Initiative at Duke - Research Incubator Award08/2013 to 07/2014Role: Co-PI
Unique collaboration between the School of Nursing and Department of Electrical and Computer Engineering at the Pratt School of Engineering for the purpose of preventing pressure ulcers among patients in nursing homes and hospitals by developing novel radar signal analysis tools and techniques to monitor patient mobility.
Evaluation of the Nursing Culture Assessment Tool as a basis for improving prevention of pressure ulcers in long-term careJohn A. Hartford Foundation Building Academic Geriatric Nursing Capacity: Claire M. Fagin Fellowship award07/2012 to 06/2014Role: Principal Investigator
The purpose of the research is to refine the previously developed Nursing Culture Assessment Tool (NCAT) by administering it to nursing staff in contextually different long-term care settings, to determine the clinical relevance of the NCAT in the context of PU prevention care practices by re-examining its content validity in this context and exploring focus group perspectives on its accuracy. Use these findings to guide item refinement and/or development of a protocol manual to standardize NCAT use in future clinical trials.
Outcomes of Nursing Management Practice in Nursing HomesNational Institutes of Health2R01-NR003178-09A209/2011 to 06/2016Role: Co-investigator
This research will test the benefit of a new staff interaction intervention (CONNECT) over and above a falls quality improvement intervention in reducing patient fall rates in nursing homes.
Occupational Health Nursing ProgramNational Occupational Research Agenda07/2010 to 06/2011Role: Co-PI nursing portion
Project Goal: Assist graduate students with research projects.
Tracey Yap was recently featured in an article entitled "Presentations at NPUAP Annual Conference Showcase Effectiveness of Leaf Patient Monitoring System in Pressure Injury Prevention" published by PR Newswire, with news provided by Leaf Healthcare.
Congratulations to Tracey Yap and Mary Lou Affronti who each received an award from the Southern Nursing Research Society (SNRS)!
Yap received the 2018 SNRS Mid-Career Researcher Award. The Mid-Career Award recognizes the contribution of a member whose scholarly work influences outcomes in nursing practice, nursing education, health policy or population health. It honors a member dedicated to mentoring the development of that scholarly work in the next generation of nurse scholars in the SNRS region.
In a recent news release from Leaf Healthcare, Tracey Yap was named one of the first members of the brand new Leaf Healthcare Clinical Advisory Board.
"As we expand the Leaf Patient Mobility Monitoring System's capabilities, Tracey and Susan will provide valuable guidance to help us develop technology that provides the most benefit for patients and their providers," said Leaf CEO and co-founder Barrett Larson. "The Clinical Advisory Board reaffirms our commitment to developing technology that allows clinicians to deliver more efficient and effective care to their patients."
Tracey Yap was recently featured in a Leaf Healthcare announcement entitled "Duke Study to Determine Optimal Patient Repositioning Intervals to Prevent Pressure Ulcers." The article discusses how her research seeks to identify safe interval times for patient turning or repositioning. The study uses a novel Leaf Patient Monitoring System to assess mobility.
Congratulations to our colleagues whose tenure promotion and appointments were approved at the August 25 Board of Trustees meeting:
Tracey Yap and Melissa Batchelor-Murphy were recently featured in an article entitled "Improving Nursing Home Care for People with Dementia" in Health News Digest. The article is an interview with the 21st World Congress of Gerontology and Geriatrics co-chairs and discusses the research findings presented by Yap and Batchelor-Murphy on what is being done to improve the safety of care for nursing home residents with dementia.
A report published by the Centers for Disease Control and Prevention predicts that during the next 25 years the population of Americans who are 65 years and older will double to about 72 million. With this increase in the older adult population comes a need to raise awareness of vital aging issues through education, research, clinical practice and community or population health.
Tracey Yap was recently selected to serve a partial term on the National Pressure Ulcer Advisory Panel (NPUAP) Board of Directors. Her term, which is an unexpired term of a director who recently resigned, begins immediately and continues until the first Panel Meeting of 2019.
The NPUAP serves as the authoritative voice for improved patient outcomes in pressure injury prevention and treatment through public policy, education and research.