6ER-042 Pharmacy students’ and professionals’ knowledge, perception and attitude regarding environmental sustainability in pharmacy practice: a systematic review

<h3>Background and Importance</h3> The environmental impact of healthcare systems, especially the pharmaceutical sector, represents a significant global challenge. Evaluating how pharmacy students and professionals understand and perceive sustainable practices is crucial for reducing the healthcare industry’s ecological footprint. <h3>Aim and Objectives</h3> This review aims to systematically synthesize evidence on the knowledge, attitudes, and perceptions of pharmacy students and professionals regarding environmental sustainability (ES) in pharmacy practice, in addition to identifying factors influencing their engagement. <h3>Material and Methods</h3> A systematic review was conducted following PRISMA guidelines. Seven databases were searched using a pre-specified search string, for studies published, in English, between 2011 and 2024. Quality assessment was performed using the NHLBI tool for cross-sectional studies, COREQ checklist for qualitative research and MMAT for mixed-methods studies. Data were synthesized narratively due to methodological heterogeneity. <h3>Results</h3> Fifteen studies from 11 countries were included. While most pharmacy students and professionals recognised environmental risks associated with pharmaceutical waste, significant knowledge gaps existed regarding proper disposal practices, ecopharmacovigilance and broader ES concepts. Despite positive attitudes toward ES, participants often struggled to translate awareness into action, citing barriers such as lack of formal training, unclear guidelines, and limited systemic support. Both students and professionals expressed strong interest in enhancing ES education and training. <h3>Conclusion and Relevance</h3> This review highlighted the need for comprehensive integration of ES principles in pharmacy education and practice using a structured approach. Additionally, future efforts should focus on developing clear guidelines, enhancing professional training, and establishing supportive infrastructure for ES in pharmacy practices. <h3>Conflict of Interest</h3> No conflict of interest