Final answer:
Students new to the concept of performance improvement in the American healthcare system may initially feel overwhelmed and daunting due to its complexity. Students with 'A' grades may feel encouraged and motivated, while those with 'C' grades may feel confused and unsure.
Step-by-step explanation:
When it comes to performance improvement in the American healthcare system, students who are new to the concept of PI may initially feel overwhelmed and daunting due to the complexity of the system. The healthcare system is vast and involves various stakeholders, policies and regulations, making it difficult to navigate for those unfamiliar with it.
Students with "A" grades before the change may feel encouraged and motivated as they already have a good understanding of the subject. They would likely strive to deepen their knowledge and actively engage in improving healthcare performance.
On the other hand, students with "C" grades before the change may feel confused and unsure about the new concept. They may seek additional support and guidance to overcome their uncertainties and gain confidence in the subject.