Post-pandemic opportunities for Canadian pharmacists: tackling mental health challenges and policy gaps through a social-ecological lens.

Background: The COVID-19 pandemic was a stressful time for healthcare workers, including pharmacists. The pandemic brought new challenges compounded by pre-existing ones. As Canadian pharmacists assume greater responsibilities with the expansion of their scope of practice, it is essential to examine their mental health needs to ensure their success in the post-pandemic era. Guided by the Social Ecological Model, this qualitative study explored the mental health needs of pharmacists. Methods: Registered pharmacists across Canada were involved in one-on-one interviews, dyadic interviews, or focus groups. Data were transcribed and then analyzed using reflexive thematic analysis. Results: A total of 22 pharmacists across Canada were interviewed for this study. At the individual level, the need to prioritise mental health and maintain boundaries has emerged as a prominent theme. At the organisational level, (1) the need for employee retention strategies and quality staff and (2) the need to improve internal and external communication were two emerging themes. The need to perceive pharmacists' roles beyond dispensing was the central theme at the community level. Finally, the primary theme at the policy level was the need to integrate pharmacies within the broader healthcare system. Conclusion: With adequate resources, structural support, and targeted investments, pharmacists are well-positioned to alleviate healthcare pressures and expand their roles in meaningful and sustainable ways.