Which statement reflects the need for culture change in implementing early mobility?

• A. Culture shift often needed
• B. Team support required
• C. Lighten deep sedation
• D. Some see as new concept, but has been around for a long time

Answer: (A)

Implementing early mobility in the ICU often requires a culture shift. It’s not enough to sign a new protocol; staff must adopt a new mindset about risk, activity, and who does what, with sustained teamwork, leadership support, and consistent practices woven into daily care. When the unit’s culture supports cross‑discipline collaboration, clear communication, and a shared commitment to getting patients moving safely, early mobilization becomes feasible and lasting. While team support and sedation strategies are important parts of the process, they don’t by themselves address the broader organizational change needed. Perceiving it as a novelty vs. an established idea doesn’t capture the systemic changes required to implement it effectively.