There are tons of videos on Youtube that show hand quilting. This is a link to Elsie Campbell's blog - she does terrific hand quilting, and made a video:
http://elsiemcampbell.blogspot.com/2...-quilting.html
There are some things that make it easier, like keeping the sandwich loose in the hoop, using battings without scrim, and quilting on the bias instead of the straight of grain, but the key is really practice, practice, practice.
Janet