The aim of this article is to contribute to the discussion on the relevance of professional leadership in nursing. Mainly, the article focuses on the management and leadership of professional nursing at the strategic level. Three areas in particular are accentuated and it is argued that in these areas insight of professional nursing is relevant. At the strategic level of decision making, representation of nursing leaders is relevant as regards documentation and development of qualifications and competences. The context of leadership is discussed and it is argued that leadership rather than management is what health service needs.