Communication can be considered as the basis of the nurse-patient relationship and is an essential element in building trust and comfort in nursing care. Effective communication is a fundamental but complex concept in nursing practice. This concept analysis aims to clarify effective communication and its impact on patient care using Rodgers's (1989) evolutionary framework of concept analysis. Effective communication between nurses and patients is presented along with surrogate terms, attributes, antecedents, consequences, related concepts and a model case. Effective communication was identified to be a multifactorial concept and defines as a mutual agreement between nurses and patients. This influences the nursing process, clinical reasoning and decision-making. Consequently, promotes high-quality nursing care, positive patient outcome and patient's and nurse's satisfaction of care.

Implicationsforpracticeandresearch► Nurses should engage in stress-relieving therapies and maintain emotional resilience to decrease their chances of burn-out syndrome. ► A longitudinal study on the influences of emotional labour and work-related stress on burn-out syndrome in nurses would ultimately enhance nursing science. ContextEmotional involvement is the basic element of therapeutic relationship between healthcare professionals and their patients. 1 However, emotional involvement exposes healthcare professionals to emotional labour, workrelated stress and burn-out. 1 These three subjective constructs are related and interconnected to each other. Nurses are mostly affected by these constructs due to the emotional demand of the nursing role. 2 This study by Zaghini and colleagues explored a test model to evaluate the influence of emotional labour on burn-out syndrome and the mediating role of work-related stress in nurses. 1 Burn-out syndrome influences the nurse's health, performance, job satisfaction, quality of life as well as the quality of care provided to patients. 3

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