I made these paper cuttings from a dingbat font from fontriver. They're easy!
To hand cut, choose the "letter" that you like and print it (large) on the back of your paper.
Fold the design into quarters--in half one way, then the other. Some designs are easier to fold on the diagonal, and some straight across.
Cut. Unfold. Don't worry if your cut lines are not exactly on the printed lines on all the layers, it won't show from the front.
You can easily machine cut these. Just plop the "letter" into your software and cut away.
Fontriver link: http://www.fontriver.com/font/hawaiian_quilt/
Detailed tutorial: http://extremecards.blogspot.com/2011/07/hawaiian-quilt-block-cards.html