As you probably know, there are two cards that are officially physically compatible with T440p and work on macOS (almost) out of the box: DW1830 and DW1560. Both of these cards are pretty expensive (90-120€ and 50-70€ respectively) and difficult to source (sellers are often out of stock due to the high demand).
Remove Wi-Fi whitelist in your BIOS if you haven't done that yet.
Modify the NGFF adapter, since it won't fit into the T440p. Use diagonal pliers (cutters) to cut off a part of the adapter (be careful not to touch contacts on the left side – slightly left to a "pb" label on the picture):
Dissassemble the laptop – you will need to remove:
Refer to Lenovo Maintenance Manual for instructions. There are a few plastics snaps around the docking station connector that are pretty tight, apply a little bit of force when you take off the base cover assembly and it should come right off.
After you removed the base cover assembly, disconnect the Ethernet controller here:
Screw the adapter to the motherboard and insert the Airport card into the adapter. Then, lift the Airport card from the adapter and try to "sandwich" the rear part of the Ethernet controller between the adapter and the card, as shown here (sorry for the madskillz):
Finally, connect the Ethernet card to the motherboard, screw it in and assemble the laptop. Don't put the big door yet: there is a plastic hook on it that connects with the space between the Ethernet connector and the base cover assembly, which is now occupied by the Airport card. Use cutters to remove it.
Turn the laptop on. It will display a message about CMOS battery and wrong checksum – go to the BIOS settings and restore default settings. My laptop refused to boot until I did that, but YMMV.
Voilá! The card works out of the box with no additional configuration required!