9 Charting the ‘new normal’ in Canadian community pharmacy practice: scoping review

IntroductionTo identify the Canada-wide changes in community pharmacy practice in response to the COVID-19 pandemic and to assess what is currently being practiced.What are the emerging practices and regulations that keep community pharmacies safe (customers and professionals) during the COVID-19 pandemic and what are the implications of these changes?MethodsReview includes primary studies (i.e., experimental, quasi-experimental, observational, and qualitative study designs) and grey literature that broadly focused on policies, regulations, and recommendations developed for Canadian community pharmacies during the COVID-19 pandemic. Study abstracts and full texts were screened for eligibility by two reviewers, independently. Data extraction of relevant studies were also done independently by two reviewers. All discrepancies were addressed through further discussion or adjudicated by a third reviewer. Presentation of the extracted data focuses on descriptive frequencies and thematic analysis and the results are presented in diagrammatic or tabular form, with a narrative summary of the findings.ResultsTeam members screened fifty-five citations and considered five to meet the inclusion criteria, with an additional 449 grey literature items. Pharmacists rely on regulatory and professional associations as their primary information source, yet corporate employers were found to offer better resources for communicating policies to pharmacists.1 In the pan-Canadian context, Health Canada granted pharmacists new permissions for prescribing, including extending and renewing prescriptions2 3 while simultaneously recommending that pharmacists should limit patient medication supplies.2 4 Although COVID-19 updates were regularly being sent by regulatory bodies and national associations, pharmacists were either unaware of where to find or did not understand available information.1 2 4 5 DiscussionAs Canada emerges from the COVID-19 pandemic, there is a ‘new normal’ for community pharmacy practice, or an expanded role in the overall healthcare system. This review adds to the understanding of how pharmacies faced challenges of incorporating rapidly evolving information into practice, while maintaining client care and worker safety.ReferencesAustin Z, Gregory P. Resilience in the time of pandemic: the experience of community pharmacists during COVID-19. Research in Social and Administrative Pharmacy 2021;17(1):1867–75.Elbeddini A, Hooda N, Yang L. Role of Canadian pharmacist