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Overview

2025 Nursing annual report

Welcome to the Children’s Minnesota 2025 Nursing Annual Report 

I am proud to recognize the extraordinary nurses who show up, day after day, with skill, compassion and unwavering commitment to the kids and families we serve. Nursing is both a calling and a craft. It demands clinical excellence, sincere empathy, critical thinking, and creative problem solving — often in fast-changing situations where the stakes are high and the needs are complex. In pediatric nursing especially, we care for the whole family, meeting parents and caregivers where they are, earning trust, and partnering in moments that families will remember forever.

In the pages that follow, you’ll see how Children’s Minnesota nurses responded to the ever-changing realities of health care with leadership, innovation and heart. You’ll read examples of nurse-led initiatives that improved patient flow and experience, advanced care delivery and safety, and supported families beyond the hospital walls. You’ll see how nurses pushed quality to new levels, how our teams strengthened workplace culture and safety, and how our organization continues to invest in professional development through simulation and training.

This report also highlights how Children’s Minnesota nurses are helping shape the profession beyond our walls — through research, evidence-based practice, scholarship and ethics leadership. Our nurses are elevating the standards of practice for the future.

The work of Children’s Minnesota nurses makes a remarkable difference in every inpatient unit, ambulatory clinic, procedural area and community setting we serve. This annual report is both a tribute to what we accomplished in 2025 and a clear reminder of who we are — every family’s essential partner in raising healthier children.

Caroline Njau

With gratitude,

Caroline Njau, MBA, BSN, RN, NEA-BC
Senior Vice President of Patient Care Services and Chief Nursing Officer

outside the Minneapolis hospital
Sparkle the star mascot, stands outside of the St. Paul hospital
Children's Minnesota Surgery and Specialty Center sign in a landscaped area

Children’s Minnesota overview

Children’s Minnesota is one of the largest freestanding pediatric health systems in the U.S., and the only health system in Minnesota to provide care exclusively to children — from before birth through early adulthood.

An independent and not-for-profit system since 1924, Children’s Minnesota serves the Upper Midwest at three hospitals, nine primary care clinics, six rehabilitation sites and eight specialty care sites.

At Children’s Minnesota, we bring together more experts across more specialties than any other pediatric hospital system in the Midwest. As the region’s largest pediatric program, we partner every day with clinicians across the Midwest to make sure every child has the best possible health care.

We champion the health needs of children and families. We are committed to improving children’s health by providing the highest-quality, family-centered care, advanced through research and education.”
–Children’s Minnesota mission statement.

Trusted, nationally recognized care

Children’s Minnesota is regularly recognized nationally for excellence in care, quality, innovation and industry leadership.  

Nursing at a glance

Total number of nurses

Pie chart showing APRNs=265 and RNs=1943
Nursing at a glanceRNAPRN
Nurse turnover (Avg.)8.92%9.35%
Nurse vacancy (Avg.)3.50%7.80%
New hires14424

Nurse tenure (average length of employment)

RNs

Pie chart: less than 1 year: 131; 1-2 years: 398; 3-4 years: 279; 5-9 years: 311; 10+ years: 824

APRNs

RNs with Baccalaureate or higher

bar chart showing percent of nurses (RNs) with baccalaureate or higher, by quarter for 2025. Q1: 85.1, Q2: 85.4, Q3: 86.1, and Q4: 85.8.

Certified RNs

bar chart showing % of certified RNs per quarter in 2025. Goal is 30.9%. Actual numbers are Q1: 30.2, Q2: 32.7, Q3: 30, and Q4: 30.6.
Give to Kids Day

Today is Give to Kids Day!

A day for our generous community to join together to ensure that even the tiniest hearts get the strongest possible start.