Date of Award


Document Type

Restricted Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Deborah Schuhmacher

Second Advisor

Katie Clark


This doctorate of nursing project exemplifies the essence of transcultural nursing and the capacity for nursing to discover culture care. Guided by Madeleine Leininger's Theory of Culture Care, this project provides insight into Hmong women’s lives and beliefs on health that represent Hmong communities. Health for Hmong people requires redefining to understand and improve health for Hmong communities. Hmong women have cared for their families and communities, and the voices of Hmong women have been expressed through intricate, needlework creations known as flower cloths, which preserve and represent Hmong culture. Today, the roles and responsibilities of Hmong women have shifted from passive homemakers to active community members. Their voices are more prominent and can influence the health of Hmong communities. As traditional caretakers, Hmong women are key informants of health for Hmong people. Culture care for Hmong people is discovered through a focus group discussion with Hmong women residing in a Midwest Hmong community utilizing Leininger’s culture care action modalities of culture care preservation, culture care accommodation, and culture care repatterning. Modesty, love, education, nutrition, and trust were discovered as culture care themes for Hmong people. To uphold tradition, honor Hmong women, and preserve Hmong culture, these culture care themes along with the guiding nursing theoretical framework are creatively conceptualized into a traditional Hmong flower cloth design to represent health for Hmong people and serve as an innovative and informative conceptual model to help facilitate culturally congruent care for Hmong people.


SC 11.DNP.2018.Yang.L