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This paper examines the participation of various healthcare specialists and representatives in three design sprints aimed to co-design healthcare services through service design approaches. The design sprints were executed during the spring of 2019 in Gothenburg, Sweden; Tallinn, Estonia; and Rovaniemi, Finland, each lasting four to five days. This paper discusses the varied roles of healthcare representatives as participants in health-related design sprints and how these different participatory roles can optimise, support and catalyse design sprint processes to develop health services. The findings show that by being part of a team, healthcare representatives can learn to use design methods and design thinking, which have an impact on future development work for healthcare services. The value of the paper lies in presenting a practical framework for use in design sprints by healthcare representatives towards the development of health-related services.

Identities and notions of the in-betweenness of designers in management positions in Silicon Valley might be shaped by one another given changing sensemaking contexts. As organising becomes less bounded with shorter job tenures designers have been constructing their identities in interactions with diverse stakeholders. Tools, skills and values together with previous experiences continuously shape design manager identities. This research explored design manager in-betweenness by linking it with identity construction, critical sensemaking and social constructionism. While hybrid design managers produce profits and innovations by utilising user data, they also might steer their organisations towards more inclusive values and global responsibility. Internal struggles may follow while there is a need for open interdisciplinary reflection. A broader global understanding of the design space is suggested. Implications for education extend beyond the design field. Deeper reflection on ethics and production consequences across occupational silos enhances critical thinking, enabling collective identity cultivation in organisational sensemaking.