Purpose : The purpose of this study was to identify how managers of middle-sized visiting nursing stations,who had business management rights, intended to administer the stations by examining their search for methods toward enhancing nursing station functions.

Methods : Semi-structured interviews were performed with two managers regarding difficulties and problems of present management situations.　Qualitative data were extracted from the verbatim scripts and a phenomenologicalstudy was conducted employing the KJ method with hypothesis generation.

Results : The labels that were extracted in the seventh step abstraction were “utilization and difficulty.”　The obstacles to enhanced function were “minimum base” conditions of station management which relied on individual capabilities.

Conclusions : Enhanced function nursing requires overcoming “minimum base” management, and it is necessary for managers to recognize it’s “utilization and difficulty” and break away from “minimum base maintenance”. For that purpose, it is essential to enhance mutual assistance between establishments, as well as those institutions’ cooperation with government public assistance activities. To begin with, stations should enhance functions with councils in the community and act as institutions to support rights of local residents by submitting opinions to authorities.