Heart failure is one of the most common cardiovascular conditions with a steadily increasing incidence. Management of such patients only by general practitioners and cardiologists make it impossible to provide high-quality medical care. To ensure multidisciplinary monitoring of heart failure patients in many countries, including Russia, heart failure clinics are actively developing. Specially trained nursing staff play a particular role in the implementation of the clinics’ purposes. Working at Heart Failure Clinic requires advanced training, which in turn determines the priority for the development of new educational programs and expanding the competencies of nursing staff in our country. This article describes the foreign experience of nursing staff in outpatient monitoring of patients with heart failure.