People create innovations. Consequently, organisations must create environments to support them in their innovative endeavours. The ambidextrous organisation is essential to support human centred innovation and therefore it is imperative to ascertain what the key determinants are in terms of structure and architecture, context and culture and leadership. Using mixed-method research approaches comprising case study and structured Kano model techniques, this paper presents an in-depth analysis of the ambidexterity initiatives of an US medical device manufacturer's new product development (NPD) department. The findings of our study illuminate the following key insights. First, we confirm that structure and architecture, context and culture and leadership are pivotal to ensuring effective ambidexterity during exploration and exploitation activities. Second, this study identifies, categorises and prioritises those salient factors that contribute to ambidexterity that organisations should adequately address to avoid undermining their pursuit of effective ambidexterity. Finally, we outline several people management considerations that are highly relevant to enhancing ambidexterity across many determinants. Ultimately, we argue that this study's findings facilitate the creation of a business ecosystem that is more conducive to operationalising effective organisational ambidexterity.

中文翻译：

---

走创新钢丝：与兼顾各方利益的组织保持平衡

人们创造创新。因此，组织必须创建环境以支持他们的创新工作。灵活的组织对于支持以人为本的创新至关重要，因此必须确定在结构和架构，背景，文化和领导力方面的关键决定因素。本文使用包括案例研究和结构化Kano模型技术在内的混合方法研究方法，对美国医疗器械制造商新产品开发（NPD）部门的灵活性计划进行了深入分析。我们研究的结果阐明了以下关键见解。首先，我们确认结构和架构 背景和文化以及领导能力对于确保勘探和开发活动中的有效模棱两可至关重要。其次，这项研究确定，分类和优先考虑那些导致歧义性的显着因素，组织应该适当解决这些显着因素，以避免破坏他们对有效歧义性的追求。最后，我们概述了与增强许多决定因素之间的矛盾性高度相关的几个人员管理注意事项。最终，我们认为，这项研究的发现促进了一个业务生态系统的创建，该业务生态系统更有利于有效实施有效的组织灵活性。对那些导致歧义性的重要因素进行了分类和优先排序，组织应该充分解决这些矛盾性因素，以避免破坏他们对有效歧义性的追求。最后，我们概述了与增强许多决定因素之间的矛盾性高度相关的几个人员管理注意事项。最终，我们认为，这项研究的发现促进了一个业务生态系统的创建，该业务生态系统更有利于有效实施有效的组织灵活性。对那些导致歧义性的重要因素进行了分类和优先排序，组织应该充分解决这些矛盾性因素，以避免破坏他们对有效歧义性的追求。最后，我们概述了与增强许多决定因素之间的矛盾性高度相关的几个人员管理注意事项。最终，我们认为，这项研究的发现促进了一个业务生态系统的创建，该业务生态系统更有利于有效实施有效的组织灵活性。