Although the evidence supporting EPM among ICU patients is compelling, Merritt says it represented a huge culture change for nurses who needed to take an hour or more out of their days to get patients up and moving.
"It just wasn't built into their day. It is time consuming," she says. "It just really changes how they have to structure their day. Their time management had to change."
And getting beside nurses onboard with making such a huge change took a lot of work even before the initiative began.
The kick-off event itself included a PowerPoint presentation featuring data and research supporting early progressive mobility, as well as objectives of the new program at Duke Raleigh.
And it wasn't just the nurses who were involved in the kick-off; the physician team, surgeons, rehabilitation services, the executive leadership team, and all the ICU staff participated, too, Merritt says.
"We invited the hospital because we wanted this to be an initiative that everyone learned about because it eventually goes past the intensive care unit walls," she says.