I've tried to get this to work a few times and selecting "sign in and update items" is doing nothing.
Here is the diagnostic output:
### Workflow version
2022.15
### Alfred version
5.0
### macOS version
11.6.7
### Architecture
i386
### Preferences
Default
### 1Password version
8.7.3
### op version
In Workflow: 2.2.0
In /usr/local: NOT installed
### Biometric unlock
NOT enabled
### Custom terminal feature
Enabled
### Launchd job
Loaded: - 0 com.alfredapp.1password
Installed