Nursing staff is the first of constant line of contact with the patients and serve a prodigious responsibility. They play a pivotal role in disseminating knowledge to the patients in their daily practice. The present study was conducted to assess the level of cancer awareness amongst hospital nurses, identify the knowledge gaps and to incorporate them in training. A cross sectional survey was conducted amongst nurses in a tertiary care hospital in North Delhi. Of 458 employed nurses, 53.3% nurses working in the hospital participated in the study on a voluntary basis. A structured pre tested questionnaire was administered to the study subjects. The questionnaires were coded and information on personal details was not included. To warrant an effective measure of study outcomes, a Cancer Awareness Score (CAS) was developed. CAS of individual participants was achieved by dividing the total average score of each subject by ten that will help in quantifying the cancer awareness. A total of 244 nurses (53.3%) out of 458 employed were surveyed. One hundred and forty six forms were filled manually and 78 forms were completed electronically. The return rate was 65.5%.The completion rate was 100% and the rejection rate was zero. Of these 223 were females and 21 were males. The study subjects were in the age range of 19 - 56 years. Out of the 244 nurses, 75.81% were aware about general aspects of cancer .77.5 % of the nurses acknowledged that cancer is a serious health problem in India, and 79.9 % were aware of the increasing incidence of cancer. 66.4 % subjects knew that cancer is a lifestyle disease. 75.4 % were aware that cancer is preventable, and 78.7% agreed that early detection is possible. 23 % believed that all lumps are cancerous. Warning symptoms of cancer: Almost 75% of the study subjects were aware about warning symptoms of cancer, with a majority of them were aware of the all the warning symptoms of cancer and rest were aware of some of the symptoms. Causative factors: Ninety percent of them were aware about all the causative factors, 8.8 % were not aware and 1.2 % did not know about the causes. Myths of cancer: In this study, 21 % of nurses were observed to have one or more myths about cancer during the survey, while 77.8 % did not carry myths about cancer (Figure VI). Surprisingly, 23.4 % believed that cancer is contagious, 25% of the study subjects believed that cancer is familial, 13.9 % believed that cancer is due to God's curse! Another alarming observation is that they believe that procedures such as biopsy (17%) or surgery (21.7%) can spread cancer! . It is vital to work on removing these myths. Cancer Statistics: More than 65% of the participants were unaware about Cancer statistics in India. More than half subjects were unaware of the most common cancerin men and women, the cancer incidence and deaths. However, 33% of the study subjects had knowledge on cancer statistics in India. .It is important to empower nurses with the information on increasing burden of cancer in India and common cancers in men and women. Cancer statistics help in strengthening the cancer awareness program. General aspects of cancer treatment: It was encouraging to observe that 75% believed that cancer is curable (75%) especially in early stages (77.9%), while 18 % thought that there is no treatment for cancer and 20.5 % believed that cancer always recurs and kills. Regarding the pain, 37 % believed that cancer treatment is painful, 38.9%. believed that pain is sign of advanced cancer and 45.1% shared the view that all cancer patients experience pain. Almost 75% of study subjects possessed optimal knowledge on general aspects of cancer treatment with less than 25% of the study subjects having suboptimal knowledge. Cancer prevention: Majority of subjects (83.2% ) believed that cancer is preventable and 82% believed that screening is the best way of early detection. Knowledge of prevention of cancer by Hepatitis B vaccine (86. 5% ) and HPV vaccine (74.6% ) was observed. Surprisingly the obesity as a risk factor for cancer was recognised by 47.1% subjects. In all, more than 66% of study subjects had adequate knowledge about cancer prevention and less than 3% of study subjects had no knowledge about cancer prevention Decision making of treatment: More than 80% of the subjects believed that diagnosis of cancer, prognosis, treatment details must be discussed with patients and caregivers. Regarding the decision makers, they believed that patients (48.4 %) or caregivers (28.3 %) must take the treatment decision while 17.2 % believed that doctor should decide the treatment. While more than 80% of the study subjects believed that patient and caregivers should participate in decision making where as less than 15% of the subjects did not. The total average score of nurses was 84.72 for appropriate responses and 14.1 for inappropriate responses To get an objective view of the quantum of cancer awareness amongst the nurses, CAS was applied. CAS was calculated as a group and on individual basis to measure the level of cancer awareness. The group CAS of the study subjects was 7.2/10 and as per the scale the findings demonstrated a need for improvement on cancer awareness . Only 4 % of nurses had desirable level with a score of above 8, while 54.5 % had score of 6 to 7, 18.8% had average and 22.5 % below average. In all 95% required training and improvement in their level of knowledge. Satisfactory aspects were in general awareness (75%), warning symptoms (75%) causations (80%), and prevention (78%), treatment (68%) decision making (83%). Unsatisfactory were knowledge of cancer statistics in India (26%). An observation of concern was existence of myths in 30 % nurses. While group average CAS was 72% needing improvement, only 4% nurses had adequate knowledge and rest needed improvement of varying degrees. They are regularly assisting patients with cancer and hence patients look up to them for information and advice. If well equipped with knowledge on cancer, they can further impart information to patients, care givers and other hospital staff. (Table-1) Conclusion Authors perceive that the study subjects lack adequate knowledge about cancer. The total average score of the study subjects is less than 75%. General awareness about cancer treatment needs to be reinforced. There is a pressing need to bust the myths by using appropriate information education communication strategies such as displaying appropriate posters depicting facts and highlights about cancer at nursing stations. Information dissemination in an integral part of the nursing role and inappropriate message communicated could be detrimental to the patients. Repeated training of nurses on cancer awareness is warranted. Nursing staff is the backbone of healthcare and play a vital role in promoting cancer screening and healthcare seeking practices. They are regularly assisting patients with cancer and hence patients look up to them for information and advice. If well equipped with knowledge on cancer, they can further impart information to patients, care givers and other hospital staff (table -1) TABLE I- AVERAGE SCORE OF THE PARTICIPANTS TOPICS APPROPRIATE INAPPROPRIATE DO NOT KNOW General cancer awareness amongst nurses 75.81 23.03 1.38 Awareness of warning symptoms of cancer amongst nurses 74.9 22.77 2.31 Awareness of causative factors of cancer amongst nurses 90 8.8 1.2 Myths of cancer amongst nurses 77.88 20.59 1.49 Awareness amongst nurses on cancer statistics 33.4 66.6 1.95 Awareness amongst nurses on general aspects of cancer treatment 66.7 6 31.25 2.65 Awareness amongst nurses on cancer prevention 74.68 24.6 1.06 Awareness amongst nurses on decision making of treatment 84.72 14.1 1.1 Awareness amongst nurses on decision making of treatment- WHO SHOULD TAKE THE DECISION IN A PATIENT OF 75 YEARS OLD MALE CAREGIVER DOCTOR FRIEND PATIENT DO NOT KNOW 28.3 17.2 4.5 48.4 1. 6 Average CAS Of Participated Nurses and Its Interpretation: Needs Improvement Score Number of Nurses Interpretation Way Forward < 4 55 (22.5%) Below Average Needs training 4-6 46 (18.8%) Average Needs training 6-8 133 (54.5%) Good Needs improvement 8-10 10 (4.09%) Very good Desirable. 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