Final answer:
Changes in the health care system, such as the expansion of access to healthcare and government regulations, have created an increased need for nurses to practice in community-based settings.
Step-by-step explanation:
Changes in the health care system have created an increased need for nurses to practice in community-based settings. One major change is the expansion of access to healthcare through programs like the Affordable Care Act, which has increased the demand for healthcare professionals. Additionally, complying with government regulations can also increase the demand for nurses, as certain procedures may require a nurse's expertise.