It simply won’t work because it is a node.js module, not at all meant for the browser (and looking at the code for a couple of seconds it seems to be a pretty poor one as well).
There were some changes to clipboard reading in Firefox 63, and whether and how you can read the clipboard depends on when and from where you want to read.
If you have a page open, the user clicks a button in it and you directly read the clipboard, it should be rather simple.
If you just randomly want to read the clipboard from the background, it may not work at all.
You should read the blog post about new WebExtension APIs in FF63!
I agree with you that if the updated features make it a f%$# load easier, but based on my years of dealing with software as a consumer, (Mechanical Engineer) I have a couple of rules for this stuff:
Don’t plan on a future release, even if in beta, going release with the promised features.
Wait until at one bug fix release before counting on those features.