Implementation of a total parenteral nutrition program in the skilled nursing facility: role of the nursing director.

Nursing directors of 24 skilled nursing facilities in North Carolina were questioned about implementation of total parenteral nutrition (TPN) therapy in the SNF. Issues addressed were job satisfaction, increased work load for staff nurses and directors, as well as staff development. It was concluded from the results of the study that while 81 percent of the nursing administrators enjoyed TPN therapy, only 50 percent were interested in such a program.