Effective Continuing Professional Development Research Articles

Knowledge, perceived needs of continuous professional’s development, and associated factors among healthcare workers in East Ethiopia: a multi-health facility-based cross-sectional study

BackgroundThe Ethiopian Ministry of Health (EMOH) has recently introduced a Continuous Professional Development (CPD) program for healthcare workers to ensure they maintain the necessary competencies to meet the community’s health needs. However, there is limited information on healthcare workers’ knowledge and perceived need for CPD. This study aims to assess healthcare workers’ CPD knowledge, perceived needs, and factors associated with these in eastern Ethiopia.MethodsA health facility-based cross-sectional quantitative study was conducted from September 1, 2022, to October 30, 2022. Health facilities and study participants were selected using a simple random sampling technique. A total of 731 healthcare professionals were randomly selected. Data was collected using a self-administered questionnaire developed from national CPD guidelines. Data analysis was performed using the STATA statistical package version 14. A logistic regression model was used to assess the association between predictors and the outcome variable. Adjusted odds ratios with 95% confidence intervals were calculated to determine the strength of the association. A p-value < 0.05 was considered statistically significant.ResultsIn this study, 731 healthcare workers participated. Among them, 65.80% (95% CI: 62.35%, 69.24%) had knowledge of CPD, and 79.48% (CI95% 76.54, 82.41) expressed a strong perceived need for CPD. Female healthcare workers [AOR: 0.54 (95% CI: 0.37, 0.78)] and lack of internet access [AOR: 0.68 (95% CI: 0.47–0.97)] were predictors of knowledge of CPD. Age above 35 [AOR: 0.39 (95% CI: 0.17, 0.91)] and being female [AOR: 0.59 (95% CI: 0.40–0.87)] were predictors of a strong perceived need for CPD.ConclusionThe study found that there was a low level of knowledge about Continuing Professional Development among healthcare workers. The perceived needs of healthcare workers varied. It is important for health sectors and stakeholders to prioritize developing strategies that address knowledge gaps, particularly among female healthcare workers, improve access to the Internet for CPD resources, and address the diverse needs of professionals for effective CPD implementation.

Institutional Practices Towards the Continuous Professional Development of Primary School Teachers

This study explores the role of school academic coordinators and their strategies in continuous professional development (CPD) for teachers. This qualitative research adopts a case study approach to gain deep insights into academic coordinators' strategies and challenges regarding effective CPD. Data for this study is collected through semi-structured online interviews from N=09 primary school coordinators from different campuses of private schools in Karachi using criterion sampling techniques. Thematic analysis was carried out from the transcription to find the themes. The study results revealed that barriers to effective implementation include a lack of interest, insufficient resources, and lack of technical skills among trainers. The findings underscore the importance of effective CPD and its implementation, highlighting challenges and suggesting strategies such as regular pre-job and during-the-job systematically interactive CPD training sessions. This study provides a deep understanding of the CPD model for curriculum developers, school coordinators, school teachers, and school management to elevate the standard of education in their schools by adopting a practical CPD approach.

Teacher’s Boundary Crossing for Continuing Professional Development During the Covid-19 Through the Lens of Cultural-Historical Activity Theory: A Case Study of a Novice Chinese Language Teacher in a UK School

Teacher continuing professional development (CPD) is almost always on the top of educational agendas in any country of the world. While existing studies primarily emphasize effective CPD programmes, this qualitative research seeks to deepen our understanding by examining the nuanced interplay of teacher’s unique working contexts, historical backgrounds, and social influences within the CPD landscape. To investigate the strong shocks resulted from the special period of time – the Covid-19 pandemic – to teachers and the approaches to accommodate the issues on the basis of the workplace, this qualitative study adopts a longitudinal, single case design to examine a Chinese language teacher’s boundary crossing in CPD during the period of the Covid-19 pandemic. Data was collected over a period of seven months, from the beginning of January 2023, the time of the COVID-19 pandemic to the end of July 2023, students returning to school. Guided by boundary crossing and Cultural Historical Activity Theory (CHAT) theoretical frameworks, this study suggests that the teacher employed a variety of CPD tools which supplemented and interconnected for different CPD objectives. CHAT conceptualize the complexity and the dynamic nature of CPD and contextulize the trajectory of boundary crossing. By employing a nuanced and comprehensive approach, this study contributes to the ongoing discourse on teacher CPD, recognizing the complexities of teacher CPD and the intricate interplay of contextual factors that shape teachers’ professional development trajectories.

Stakeholder views on continuing professional development for doctors working in public primary care facilities in central Uganda: a qualitative study.

the primary care workforce in the public sector of Uganda is under the district health system. The doctors in this workforce provide leadership and frontline promotive, preventive, curative, rehabilitative, and palliative care. Their numbers are still low and therefore need effective support through continuing professional development (CPD). Part of the support is influenced by stakeholders whose views on CPD in the district health system are important. This study therefore explored the stakeholders' views on the CPD of doctors working in the district health system in central Uganda. a qualitative exploratory study was done, and data was collected using an interview guide through in-depth interviews among ten purposively selected CPD stakeholders influencing different aspects of CPD activities of doctors working in public general hospitals and health center IVs. The interviews were recorded and transcribed verbatim and manually analyzed using deductive thematic analysis. five themes were categorized into; CPD practices, facilitators, benefits, challenges, and suggestions. Each of the themes had subthemes; CPD practices; training, mentorship and apprenticeship, support supervision, and quality improvement projects. Facilitators; internet services, grants, health facility managers, facility-based CPD providers, and regional CPD guidelines. Benefits; motivation, knowledge, teamwork, and renewal of practicing licenses. Challenges; workload, allowances, access, documentation, mindset, quality, structure of public health system, and sustainability. Suggestions; training needs analysis, collaboration, monitoring, e-CPD platforms, CPD resource centers, and individual CPD responsibility. the stakeholders' views are an indication that effective CPD is a collaborative effort from both the primary care doctors and those in the leadership of the health care system.

The future of EFL teachers’ professional development in Türkiye: A Swot Analysis

A clear understanding of teachers' continuing professional development (CPD) needs is crucial for planning appropriate in-service training activities. The study adopts a qualitative approach, utilizing a methodology centered around roundtable discussions that integrate a SWOT matrix for a comprehensive analysis of English as a foreign language (EFL) teachers' CPD needs. The inductive content analysis approach to the data (Strauss and Corbin, 1990), specifically within the deductive structure of the four broad categories of SWOT component was applied, followed by a thematic approach (Merriam and Tisdell, 2016). Engaging five experienced K–12 EFL teachers across three consecutive roundtable sessions to explore both advantageous and challenging internal and external factors and propose solutions, this study highlights the utility of the SWOT analysis as an effective tool in needs assessment. The framework emerging from unified recommendations suggests fostering informal CPD avenues, such as communities of practice and opportunities for teacher mobility. The study concludes with forward-looking recommendations urging policymakers to develop cohesive CPD programs tailored for EFL teachers in public schools in Türkiye. These recommendations could potentially be generalized, enabling local and national educational institutions and organizations to provide effective CPD avenues for EFL teachers

Continuing professional development (CPD) at a distance: Teachers' reflections on enhancing distance education (DE) provision

In Ghana, continuing professional development (CPD) initiatives for teachers are fragmented, with limited participation opportunities for all subject teachers, resulting in a high reliance on distance education (DE) programs. This qualitative study investigates teachers' experiences with DE upgrading programs and their thoughts on improving. Data was gathered from 32 participants in the Ekumfi district of Ghana. The findings show that, despite the constraints, teachers in Ghana are taking an agentic stance in using DE for their professional development. However, while DE programs provide reliable paths to updating professional knowledge, they are insufficient as a CPD tool to assist teachers' learning for improvements in classroom practice. Teachers' DE experiences reveal a rigid program structure with content that is unreflective of current educational concerns and the utilization of didactic teaching and learning approaches. These are detrimental to active learning and unlikely to result in effective teacher improvement. To strengthen DE as an effective CPD tool in Ghana, the study recommends regularizing other CPD avenues, revising DE upgrading programs for teachers, and systematising mechanisms for monitoring and evaluating teachers' competencies before and afterDE participation.

Rethinking Teaching Strategies: Considerations for Promoting Equity, Diversity, And Inclusion

Equity, diversity, and inclusion (EDI) significantly enhance educational opportunities for all learners and prepare socially and economically inclusive societies. Classrooms are increasingly diverse as difference is an essential part of human life, in the past, current, and future. The ideas of teaching for diversity, equity, and inclusion complement each other and enhance educational opportunities for all pupils when simultaneously engaged. This study examines primary school teachers’ views on their continuous professional development (CPD) needs to ensure all pupils are supported for quality education. Studies implemented mainly focus on the perspectives and beliefs of mainstream or special education teachers about inclusive education. Yet, teachers' voices about their own CPD needs to improve their inclusive practice remained overlooked. This study, therefore, adopts a qualitative approach where 76 respondents were purposely sampled from five national schools in Malaysia. Semi-structured interviews of focus groups and individuals were implemented; with 10 classroom observations executed before the individual interviews. Data were analysed thematically using qualitative analysis software. The study shows that teachers view CPD as a strategy to drive change and improve teachers’ practice as professionals and effective CPD activities focus on addressing the belief and knowledge of teachers in improving their teaching strategies to tackle all pupils. This article provides a useful guide for school leaders in planning, implementing, and culture the CPD activities. Infusing EDI in CPD is essential for promoting an inclusive learning environment and is conducive to ensuring that all pupils could achieve their optimum potential with teachers’ enhanced teaching strategies.&#x0D;

Professional Nurses’ Experiences Regarding Continuing Professional Development (CPD) Opportunities at Public Hospitals of Limpopo Province, South Africa

Rapid changes in health care, innovative technologies, and the emergence of new knowledge globally led to a need for enhancement in Continuing Professional Development (CPD) opportunities for nurses in public hospitals of Limpopo. However, they need to be empowered with updated knowledge and skills to adapt to these changes to enable them to render quality care to patients, resulting in fewer lawsuits. To explore and describe the experiences of professional nurses regarding CPD opportunities in the public hospitals of Limpopo Province. An exploratory-descriptive design was utilized in this study. Individual semi-structured interviews were used for data collection. Participants comprised 35 professional nurses who were purposely selected. Data collected were audio-recorded and transcribed verbatim. Data was analyzed using Tech’s eight-step data coding process, which led to the emergence of themes and sub-themes. Trustworthiness was ensured through credibility, confirmability, dependability, and transferability. Four themes emerged: Professional nurses’ understanding of CPD, Professional nurses’ views about necessary support needed for CPD, Professional nurses’ related to in-service training being offered, and Identified measures to resolve the challenges. Findings highlight that professional nurses value CPD and view it as important in learning new skills and improving standards of patient care and their self-esteem. Findings included challenges such as poor attendance of CPD activities and, lack of understanding of CPD, lack of access to CPD training, shortage of staff, and lack of funding and support by managers. Offering CPD opportunities regularly enhances knowledge and skills personally and professionally. However, more effective strategies are needed to address the identified challenges. Nurse Managers, Human Resources Departments, and the Department of Health need to be informed and updated on what is required in order to create and sustain effective and attainable CPD opportunities in the public hospitals of Limpopo Province.

Harmonisation of education, training and continuing professional development for laboratory animal caretakers, technicians and technologists: Report of the FELASA-EFAT Working Group.

Competent, confident and caring laboratory animal caretakers, technicians and technologists (LAS staff) are vital for good animal welfare, high-quality science and a secure Culture of Care. This requires high-quality education, training, supervision and continuing professional development (CPD) of LAS staff. However, there is a lack of harmonisation regarding how this education and training is conducted among European countries, and nor are there recommendations adapted to Directive 2010/63/EU. Therefore, FELASA and EFAT established a working group with the task of establishing recommendations for education, training and CPD for LAS staff. The working group established five different levels (LAS staff levels 0-4), defining the required level of competence and attitude, as well as suggesting educational requirements for reaching each level. Defining these levels should help to ensure that appropriate educational and CPD activities are in place, and to enable employers and LAS staff to determine the level and career stage attained. Furthermore, proper assessment of competencies and effective CPD schemes for all relevant staff should be established. Regulators should support this by setting standards for competence assessment and ensuring that they are consistently applied. In addition, establishments should involve the LAS staff in defining and developing the Culture of Care. The Animal Welfare Body should be involved and have oversight of education, training and CPD. These recommendations will contribute to harmonisation and increased quality of education, training and CPD, as well as provide clearer career pathways for LAS staff, helping to ensure high standards of animal welfare and science.

Classifying the Characteristics of Effective Continuing Professional Development (CPD) for Computer Science Teachers in the 16-18 Sector

As technology and curricula continue to evolve and develop, the prevalence and effectiveness of continuing professional development (CPD) opportunities for computer science teachers is becoming increasingly more important. However, key questions remain about what the characteristics are for effective CPD in this context. Through the presentation of existing literature and the qualitative analysis of interviews with 32 employees from 13 English colleges (n = 14 computer science lecturers, 10 course leaders, and 8 members of senior leadership) this article answers the following question: ‘What are the characteristics of effective continuing professional development for computer science teachers in the 16-18 sector?’ Existing literature indicates how CPD benefits from: (1) knowledge development and application to classroom teaching, (2) self-efficacy development and measurement, (3) observation, feedback and reflection, (4) collaboration and communities of practice, (5) sufficient time, and (6) institution support. Meanwhile, the thematic analysis of interview data led to the creation of five overarching themes: (1) computer science CPD should address various knowledge domains, (2) CPD requires institutional support, (3) CPD should be engaging, (4) computer science CPD should involve a combination of activities, and (5) CPD should be measurable. This qualitative article also presents interview excerpts and contributes to computing education research and practice by presenting a set of thirty guidelines which outlines the characteristics of effective CPD in the context of computer science teachers in the 16-18 sector. These guidelines could be beneficial for both CPD providers and educators in ensuring CPD opportunities are designed more effectively, and with an understanding of both parties’ needs.

Perceived Advantages and Disadvantages of Online Continuing Professional Development (CPD) During COVID-19: CPD Providers' Perspectives.

COVID-19 precipitated many CPD providers to develop new technology competencies to create effective online CPD. This study aims to improve our understanding of CPD providers' comfort level, supports, perceived advantages/disadvantages, and issues in technology-enhanced CPD delivery during COVID-19. A survey was distributed to CPD providers at the University of Toronto and members of the Society for Academic Continuing Medical Education and analyzed using descriptive statistics. Of the 111 respondents, 81% felt very to somewhat confident to provide online CPD, but less than half reported IT, financial, or faculty development supports. The top reported advantage to online CPD delivery was reaching a new demographic; top disadvantages included videoconferencing fatigue, social isolation, and competing priorities. There was interest in using less frequently used educational technology such as online collaboration tools, virtual patients, and augmented/virtual reality. COVID-19 precipitated an increased comfort level in using synchronous technologies to provide CPD, giving the CPD community an increased cultural acceptance and skill level to build on. As we move beyond the pandemic, it will be important to consider ongoing faculty development, particularly toward asynchronous and HyFlex delivery methods to continue expand CPD reach and negate negative online experiences such as videoconferencing fatigue, social isolation, and online distractions.

Paving the Way Forward for Evidence-Based Continuing Professional Development.

Continuing professional development (CPD) fosters lifelong learning and enables health care providers to keep their knowledge and skills current with rapidly evolving health care practices. Instructional methods promoting critical thinking and decision making contribute to effective CPD interventions. The delivery methods influence the uptake of content and the resulting changes in knowledge, skills, attitudes, and behavior. Educational approaches are needed to ensure that CPD meets the changing needs of health care providers. This article examines the development approach and key recommendations embedded in a CE Educator's toolkit created to evolve CPD practice and foster a learning experience that promotes self-awareness, self-reflection, competency, and behavioral change. The Knowledge-to-Action framework was used in designing the toolkit. The toolkit highlighted three intervention formats: facilitation of small group learning, case-based learning, and reflective learning. Strategies and guidelines to promote active learning principles in CPD activities within different modalities and learning contexts were included. The goal of the toolkit is to assist CPD providers to design educational activities that optimally support health care providers' self-reflection and knowledge translation into their clinical environment and contribute to practice improvement, thus achieving the outcomes of the quintuple aim.

Exploring the economic and social relationships in a triadic model of continuous professional development

The transformation of labor markets necessitates a dynamic approach to professional development. In Kazakhstan, a country in the throes of economic diversification, the economic implications of Continuous Professional Development (CPD) hold relevance. This paper introduces a triadic model that aims to explore the relationships between CPD, skill accumulation, and labor market mobility within the context of Kazakhstan’s developing economy. We examine the quantitative and qualitative economic benefits and drawbacks associated with CPD initiatives at both the individual and organizational levels. By employing multi-method analysis, which includes statistical modelling, survey data, and case studies, the study presents an intricate understanding of how CPD investments propagate through the labor market, affecting individual career trajectories, organizational competitiveness, and overall economic productivity. The triadic model consists of three interconnected components: Individual Skill Accumulation (ISA), Organizational Skill Utilization (OSU), and Labor Market Mobility (LMM). The ISA component analyses how CPD activities contribute to an individual’s skillset, both hard and soft skills. OSU focuses on how organizations harness these accumulated skills for operational efficiency and market competitiveness. Finally, LMM investigates how CPD-influenced skills affect labor market transitions, including lateral movements, promotions, and even inter-industry mobility. The empirical results indicate a strong positive correlation between CPD investment and skill accumulation, which subsequently influences labor market mobility in both intra- and inter-industry contexts. Organizations participating in CPD initiatives were found to have a competitive edge, particularly in technology adoption and human capital retention. However, the benefits are not unequivocally distributed, with the upper echelons of organizational hierarchies reaping disproportionate advantages. Moreover, a lack of standardization in CPD programs may contribute to a skills mismatch, thus countering some economic benefits. This paper contributes to the extant literature by providing a nuanced view of CPD’s role in a developing economic context. Policymakers and organizational leaders can leverage these insights to formulate more effective CPD strategies that align with broader economic goals and societal needs.

An Analysis of the Effective Continuous Professional Development Programs on Teaching in UAE

An Analysis of the Effective Continuous Professional Development Programs on Teaching in UAE

Institutionalizing Crisis-Sensitive Education Planning, Preparedness and Capacity Building through Media and Technology Practical Skills for Undergraduate Pre-Service Teachers

Abstract: There is consensus that teacher educators should be held responsible for the trainees that they graduate. COVID-19 led to rapid response to the crisis by promoting adoption of remote learning. Ministries of education all over the world aligned rapid response to their long-term learning priorities. Efforts should be geared towards enhancing the skills of teacher educators and the trainee teachers in crisis risk reduction and management through micro-teaching course. Educational media practical skill training is critical to ensuring inclusive and equitable quality education and promotion of lifelong learning opportunities for all. Teachers need Technological Pedagogical and Content Knowledge to use technology for economic growth, social inclusion, and environmental conservation. Digitalization of the curriculum is about looking ahead of crises that may disrupt learning. However, studies on integration of ICT into pedagogy have revealed gross incompetence of teachers and lack of infrastructure and instructional leadership to support its implementation. Additionally, Ministries of Education in Africa have not institutionalized crisis-risk reduction and management into education policies and programs. Moreover, effective continuous professional development for teacher educators and learners has not been institutionalized in higher education in Kenya. Therefore, adoption and integration of ICT into higher education curriculum and pedagogy is still at a nascent stage. A study was done among fourth year pre-service teacher trainees at Maasai Mara University to establish how effective the media practical skills training prepared them for teaching practice and Technological Pedagogical Knowledge Content. The findings revealed that there was a relationship between media practical skills training and teaching practice. They also revealed that most of the students had pedagogical and content knowledge but no Technological Knowledge. This study has recommended revision of the teacher education curriculum, capacity building of teacher educators in 21st Century skills on Technological Pedagogical Content Knowledge and provision of well-equipped resource centers in teacher training institutions.

A Multifaceted Educational Intervention to Reduce Plasma Utilization

Blood transfusion services maintain quality practice through adherence to guidelines but are faced with blood component wastage due to multiple factors. One factor, in particular, is poor ordering and utilization practices followed by physicians who may not be familiar with the indications and the optimal conditions for the handling of blood products. This study evaluates whether an educational intervention would help reduce ordering of plasma and improve wastage rates after thawing. The study followed a quasi-experimental pre-test post-test design. A multifaceted educational intervention was introduced at a tertiary hospital-based combining predisposing, enabling, and reinforcing activities, based on the literature of effective continuous professional development. The activities included a brief survey to evaluate participant knowledge about indications of plasma and its storage condition, a lecture, and periodic reports and reminders sent to all department heads in the hospital. Respondents to the survey and lecture attendees included physicians in adult critical care and anesthesia departments. Monthly plasma utilization and wastage rates were compared before and after introducing the intervention. Sixty physicians participated in the survey. The questions were answered correctly by less than half. After introducing the intervention, monthly plasma transfusion rates decreased; however, wastage rates did not improve. There is a knowledge gap among physicians who order plasma. The educational intervention resulted in lower plasma transfusion rates but did not affect wastage rates. Future interventions would benefit from including physicians in other departments as well as nurses.

Continuous professional development programmes for school principals in the 21st century: Lessons learned from educational leadership practices

Continuous professional development (CPD) is important for educational leaders to improve institutional performance and students’ learning outcomes. Yet, organizing effective professional development programmes are often more complex than we might assume. The current study aims to explore the challenges of managing CPD for high school principals in Indonesia. Six high school principals and three officers of the Ministry of Education and Cultures (MoEC) were interviewed. Qualitative data from the interviews were analyzed and coded thematically using ATLAS.ti. Several themes and main points emerged from the transcripts of interviews. The findings revealed some challenges in managing CPD programmes at schools. They include resistance to change, technicality and workload, almost zero follow-ups, unprofessional recruitment, and unclear training syllabus. Among the suggestions to improve the CPD programmes are building personal approaches, developing professional skills, establishing a professional recruitment system, making continuous training programmes, and optimizing school organizations. This study can be used as an additional guide to implement effective CPD and can be a platform to improve the professional development of educational leaders.

Education as drug policy: A realist synthesis of continuing professional development for opioid agonist therapy.

Continuing professional development (CPD) for opioid agonist therapy (OAT) has been identified as a key health policy strategy to improve care for people living with opioid use disorder (OUD) and to address rising opioid-related harms. To design and deliver effective CPD programs, there is a need to clarify how they work within complex health system and policy contexts. This review synthesizes the literature on OAT CPD programs and educational theory to clarify which interventions work, for whom, and in what contexts. A systematic review and realist synthesis of evaluations of CPD programs focused on OAT was conducted. This included record identification and screening, theory familiarization, data collection, analysis, expert consultation, and iterative context-intervention-mechanism-outcome (CIMO) configuration development. Twenty-four reports comprising 21 evaluation studies from 5 countries for 3373 providers were reviewed. Through iterative testing of included studies with relevant theory, five CIMO configurations were developed. The programs were categorized by who drove the learning outcomes (i.e., system/policy, instructor, learner) and their spheres of influence (i.e., micro, meso, macro). There was a predominance of instructor-driven programs driving change at the micro level, with few policy-driven macro-influential programs, inconsistent with the promotion of CPD as a clear opioid crisis policy-level intervention. OAT CPD is challenged by mismatches in program justifications, objectives, activities, and outcomes. Depending on how these program factors interact, OAT CPD can operate as a barrier or facilitator to OUD care. With more deliberate planning and consideration of program theory, programs more directly addressing diverse learner and system needs may be developed and delivered. OAT CPD as drug policy does not operate in isolation; programs may feed into each other and intercalate with other policy initiatives to have micro, meso, and macro impacts on educational and population health outcomes.

Learning needs assessments in continuing professional development: A scoping review

Background A rigorous learning needs assessment (LNA) is a crucial initial step in the Continuing Professional Development (CPD) process. This scoping review aimed to collate, summarize, and categorize the reported LNA approaches adopted to inform healthcare professional CPD and highlight the gaps for further research. Method In August 2020, nine bibliographic databases were searched for studies conducted with any health professional grouping, reporting the utilized LNA to inform CPD activities. Two reviewers independently screened the articles for eligibility and charted the data. A descriptive analytical approach was employed to collate, summarize, and categorize the literature. Results 151 studies were included in the review; the majority adopted quantitative methods in the form of self-assessment surveys. Mixed-methods approaches were reported in only 35 studies. Descriptions of LNA development lacked detail of measures taken to enhance their rigor or robustness. Discussion These findings do not reflect recommendations offered by the CPD literature. Further investigations are required to evaluate more recently advocated LNA approaches and add to their limited evidence-base. Similarly, the existing support afforded to CPD developers warrants further study in order to identify the necessary resource, infrastructure and expertise essential to design and deliver effective CPD programs.

Influence of a professional development programme on the life skills teaching practices of secondary PE teachers

ABSTRACT This study examines the influences of a one-year life skills-oriented continuing professional development (CPD) programme on PE teachers’ teaching practice. Based on Ball’s (2009) generative change model, the programme was designed to facilitate pedagogical connections between programme knowledge and teachers’ practices. Eight participants (4 males, 4 females) with 2–15 years teaching experience (M = 6.25, SD = 6.23) were selected. Data were collected from interviews with teacher participants, observation and texts retrieved from online chatroom messages exchanged from January 2018 to January 2019. Data were analysed using the case study approach and cross-case analysis for pattern recognition. The study findings show how the CPD programme influences teaching practice through four patterns: (a) generative improvement, (b) delayed improvement, (c) fluctuated practice and (d) stagnant practice. The findings also highlight how the process of change through CPD participation is challenging because the learning trajectories of teachers are mediated by the complex interplay between individual, programme and school contexts. Moreover, the importance of antecedents, such as prior beliefs and participant motivation, on CPD impacts, as well as the learning design characteristics for effective CPD programmes, are addressed.