Tracey L. Yap, PhD, RN, CNE, WCC

Assistant Professor
Phone: 
(919) 613-6170
Office: 
1033 Clipp Research Building

Dr. Tracey Yap came to the Duke University School of Nursing in August 2011 from the University of Cincinnati College of Nursing, where she was assistant professor and deputy-director of nursing at the NIOSH-sponsored Education Research Center. Dr. Yap is Assistant Professor at DUSON, a John A. Hartford Foundation Claire M. Fagin Fellow, and a Senior Fellow in the Duke University Center for Aging and Human Development.

Dr. Yap completed her PhD at the University of Cincinnati. Her dissertation research focused on a tailored behavioral intervention to increase intentional physical activity among workers in manufacturing settings. With funding from the Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative, she then developed a cost-effective, nurse-led intervention that reduced prevalence of pressure ulcers 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 this 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 nursing culture.

Dr. Yap is committed to improving the care outcomes of older adults in long-term care settings, particularly with respect to prevention and management of common yet seemingly intractable geriatric syndromes such as facility-acquired pressure ulcers. She has been selected by the international 2014 Pressure Ulcer Guideline Development Group as a member of the working groups for both older adults and repositioning/mobilization.

Academic Program Affiliations

  • PhD in Nursing Program
  • Doctor of Nursing Practice Program

Education

  • PhD - University of Cincinnati College of Nursing
  • BSN - Northern Kentucky University

Research Interests

Dr. Yap has a strong interest in translational science, and her scholarship broadly focuses on understanding and improving the processes that facilitate nursing staff implementation of best practices for resident care. Her research expertise includes both quantitative and qualitative methods and the tailoring of interventions that permit the study of group behavior change over time related to outcomes of interest.

Her current research as a Claire M. Fagin Fellow is focused on evaluation and refinement of the NCAT. She is re-examining its content validity in contextually different long-term care settings by exploring staff perspectives on its accuracy. Use of these findings will guide item refinement and/or development of a protocol manual to standardize NCAT use in future clinical trials.

Dr. Yap is also a co-investigator on the R01 study of Drs. Ruth Anderson and Cathleen Colón-Emeric,which is testing the benefit of combining the new CONNECT staff interaction intervention with a fall-prevention quality improvement intervention, in order to reduce patient fall rates in nursing homes. The R01 team has adopted the NCAT as part of the study, and will administer it in each of the 16 facilities at four time points over a five-year period, thereby yielding invaluable information on how nursing culture changes over time with implementation of the CONNECT intervention. The proposed study will identify important new ways in which long-term care facilities can support older adults through fostering a positive workplace culture that facilitates implementation of practices that produce quality care outcomes.

Awards and Honors

  • 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

  • Gerontology
  • Quality of Care / Patient Safety
  • Translational Research

Areas of Interest

pressure ulcer prevention
behavior change
nursing culture
organizational culture
occupational/environmental health

Representative Publications

  • 2013 -- Yap, T. L. Turn-Turn-Turning the Tables on a Pervasive Problem in Long-Term Care Human Capital Blog (Robert Wood Johnson Foundation). May 6, 2013
  • 2013 -- Hemmings, A. and Beckett, G. and Kennerly, S. and Yap, T. Building a Community of Research Practice: Intragroup Team Social Dynamics in Interdisciplinary Mixed Methods Inquiry Journal of Mixed Methods. April 11, 2013
  • 2012 -- PubMed # : 22523245 Kennerly, S. M. and Yap, T. L. and Hemmings, A. and Beckett, G. and Schafer, J. C. and Borchers, A. Development and Psychometric Testing of the Nursing Culture Assessment Tool. Clin Nurs Res. November, 2012 21(4); 465-483
  • 2012 -- PubMed # : 22842762 Kennerly, S. M. and Yap, T. and Miller, E. A Nurse-Led Interdisciplinary Leadership Approach Targeting Pressure Ulcer Prevention in Long-term Care. Health Care Manag (Frederick). July-September 2012 31(3); 268-75
  • 2011 -- PubMed # : 21675395 Yap, T. L. and Kennerly, S. M. A nurse-led approach to preventing pressure ulcers. Rehabil Nurs. May-June, 2011 36(3); 106-10
  • 2010 -- PubMed # : 20954577 Yap, T. L. and Busch James, D. M. Tailored e-mails in the workplace. AAOHN J. October, 2010 58(10); 425-32
  • 2009 -- PubMed # : 19650604 Yap, T. L. and Davis, L. S. and Gates, D. M. and Hemmings, A. B. and Pan, W. The effect of tailored e-mails in the workplace. Part II. Increasing overall physical activity. AAOHN J. August, 2009 57(8); 313-9
  • 2009 -- PubMed # : 19639858 Yap, T. L. and Davis, L. S. and Gates, D. M. and Hemmings, A. B. and Pan, W. The effect of tailored E-mails in the workplace. Part I. Stage movement toward increased physical activity levels. AAOHN J. July, 2009 57(7); 267-73
  • 2009 -- PubMed # : 19103982 Yap, T. L. and Hemmings, A. and Davis, L. S. The systematic development of a tailored e-mail intervention for health behavior change toward increasing intentional physical activity. West J Nurs Res. April, 2009 31(3); 330-46
  • 2009 -- PubMed # : 19203673 Gillespie, G. L. and Yap, T. L. and Singleton, M. and Elam, M. A summative evaluation of an EMS partnership aimed at reducing ED length of stay. J Emerg Nurs. January, 2009 35(1); 5-10

Pages

Grant Funding (Selected)

  • Evaluation of the Nursing Culture Assessment Tool as a basis for improving prevention of pressure ulcers in long-term care

    John A. Hartford Foundation Building Academic Geriatric Nursing Capacity: Claire M. Fagin Fellowship award
    07/2012 to 06/2014
    Role: 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 Homes

    National Institutes of Health
    2R01-NR003178-09A2
    09/2011 to 06/2016
    Role: 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.

  • Interdisciplinary Mobility-Team Approach to Reduction of Facility-Acquired Pressure Ulcers

    Robert Wood Johnson Foundation
    66636
    09/2009 to 08/2011
    Role: Principal Investigator

    Project Goal: 50% reduction of facility-acquired pressure ulcers in long-term care facilities through enhanced resident mobility.

  • Development of a Model for CNA Sub-Culture within Long-term Care

    University of Cincinnati’s College of Nursing’s Dean’s Research Award
    01/2010 to 01/2012
    Role: Co-PI

    Project Goal: Field test a qualitative interview instrument & observation guide focused on organizational culture.

  • Occupational Health Nursing Program

    National Occupational Research Agenda
    07/2010 to 06/2011
    Role: Co-PI nursing portion

    Project Goal: Assist graduate students with research projects.

  • Tai Chi a possible way to reduce cardiovascular risk factors in firefighters

    Pilot Research Program of the NIOSH sponsored Educational Research Center at University of Cincinnati
    T42/OH008432-06
    07/2010 to 12/2011
    Role: Co-PI/Mentor

    Project Goal Reduce Firefighters’ cardiovascular risk factors related to sedentary behavior.

  • Workplace Culture: Psychometric Evaluation of the Nursing Culture Assessment Tool

    Pilot Research Program of the NIOSH sponsored Educational Research Center at University of Cincinnati
    T42/OH008432-06
    07/2010 to 06/2011
    Role: Co-Mentor

    Project Goal Develop, test psychometric properties, discover dimensionality, and refine item structure of a nursing culture assessment tool.

  • Tailored E-mails in the Workplace: A Focus Group Analysis

    National Institute of Occupational Safety & Health (NIOSH) — Administrative supplement
    T42-OH 008432-05— Administrative Supplement
    07/2007 to 06/2008
    Role: Co-PI nursing portion

    Project Goal: Administrative supplement to assist MSN students with qualitative research.

  • Examining the effect that tailored messages have on intentional physical activity

    NIOSH & Health Pilot Research Project Training Program, Univ Cincinnati Educ. & Res. Center Grant
    T42/OH008432-02
    06/2007 to 06/2008
    Role: Principal Investigator

    Project Goal: Evaluate personalized, tailored, email physical activity messages ability to increase intentional physical activity.

  • Tailored messages and their effect on intentional physical activity

    NIOSH & Health Pilot Research Project Training Program, Univ Cincinnati Educ. & Res. Center Grant
    T42/OH008432-01
    06/2006
    Role: Principal Investigator

    Project Goal: Design, Develop, and establish content validity for a set of tailored email messages for encouraging intentional physical activity.

Pages

Faculty News

Roots of Gerontological Research Run Deep

2013-05-01
Gerontology has been an area of particular focus and strength within the School of Nursing since the 1960’s, when faculty member Dr. Virginia Stone established the nation’s first gerontological...

Dr. Tracey Yap, School of Nursing Faculty Member, Selected to Help Establish International Guidelines for Pressure Ulcer Prevention

2012-11-20
Tracey L. Yap, PhD, RN, CNE, associate professor at Duke University School of Nursing, was selected to be a member of two working groups to help establish the 2014 international guidelines for...

Aselage, Yap Named Claire M. Fagin Fellows by Hartford Foundation

2012-10-07
Duke University School of Nursing assistant professors Drs. Melissa Aselage and Tracey Yap have been named 2012-2014 Claire M. Fagin Fellows by the John A. Hartford Foundation. The Claire M. Fagin...

Yap Earns CNE Credential

2012-10-07
Tracey Yap has been credentialed as a Certified Nurse Educator (CNE). For academic nurse educators, the CNE credential establishes nursing education as a specialty area of practice and demonstrates...

Aselage, Yap Named 2012-2014 Claire M. Fagin Fellows

2012-08-19
Assistant professors Melissa Aselage and Tracey Yap have been named 2012-2014 Claire M. Fagin Fellows. Each will receive up to $120,000 to support postdoctoral research training, mentorship,...

Yap Publishes in The Health Care Manager

2012-08-05
Assistant Professor Tracey Yap published an article entitled "A nurse-led interdisciplinary leadership approach targeting pressure ulcer prevention in long-term care" in The Health Care Manager....

Yap Publishes in Clinical Nursing Research

2012-07-15
Assistant Professor Tracey Yap published an article entitled "Development and psychometric testing of the Nursing Culture Assessment Tool" in Clinical Nursing Research.

Yap Receives John A. Hartford Foundation BAGNC Award to Evaluate Tool for Improving Pressure Ulcers in Long-Term Care

2012-06-17
Tracey Yap received an award for her John A. Hartford Foundation BAGNC proposal entitled "Evaluation of the Nursing Culture Assessment Tool as a Basis for Improving Prevention of Pressure Ulcers in...

Yap Appointed to Orange County Nursing Home Community Advisory Committee

2012-01-12
The Orange County Board of Commissioners appointed Assistant Professor Tracey Yap to the Orange County Nursing Home Community Advisory Committee for a one-year training term expiring January 30, 2013...

Yap Delivers Invited Podium Presentation at 2011 National Ergonomics Conference and Exposition

2011-12-20
Assistant Professor Tracey Yap delivered an invited podium presentation entitled “Promoting Worker Safety in Healthcare Environments by Understanding Occupational Culture” at the 2011 National...