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As the world becomes increasingly globally connected nursing anthropology has come to the fore as a method of forming foundations that cross cultures. Increasing our understanding of the practice of nursing and nursing leadership is critical to forming a basis for our continued discourse. This study examines the development by one nurse of two healthcare programs which combine the disparate aspects of traditional culture, Western medicine and evangelism to reach a successful end. The methodological tradition employed in this study is qualitative, ethnographic and case study based. Combining these methods allowed for increasing our understanding of the development by one individual of two healthcare programs within a specific cultural context.