Wolsong Unit 1, a domestic heavy water reactor nuclear power plant, was permanently shut down in December 2019. Accordingly, Wolsong Unit 1 plans to prepare a Final Decommissioning Plan (FDP), submit it to the government by 2024, receive approval for decommissioning, and begin full-scale decommissioning. One of the important tasks in the decommissioning of Wolsong Unit 1 is to determine the decommissioning strategy. It is necessary to decide on a decommissioning strategy considering various factors and variables, secure the technical background, and justify it. The selection of a decommissioning strategy is best achieved through the use of formal decisionmaking assistance techniques, such as considerations related to influencing factors. It is very important to understand the basic decommissioning strategy alternatives and whether sufficient consideration has been given to situations where only a single unit is permanently shut down in a multi-unit site like Wolsong Unit 1, while the remaining units are in normal operation. As a process for selecting a decommissioning strategy, first, all considerations that could potentially affect decommissioning presented in the KINS Decommissioning Safety Review Guidelines were synthesized, influencing factors to be used in the decision-making process were determined, and the concept was defined. In order to select the most appropriate decommissioning strategy by considering various evaluation attributes of possible decommissioning alternatives (immediate dismantling and delayed dismantling), the Wolsong Unit 1 decommissioning strategy was evaluated by reflecting the AHP decision-making technique.

With the enforcement of the “Act on decisions on life-sustaining treatment for patients at the end of life” in February 2018, discussion on advanced care planning (ACP) has increased. However, as decisions on life-sustaining treatments are still made in the intensive care unit, deaths related to the suspension of life-sustaining treatment account for a large proportion of deaths in the intensive care unit. The nurses encounter challenges in supporting the patient's dignified death; they experience an ethical dilemma in the ambiguity due to a lack of guidance on legal responsibilities regarding decisions on life-sustaining treatment. In order for the nurses to perform as a supporter providing care to the patients and as a advocate during the process of decision-making on life-sustaining treatment, there should be a systemic change to ensure the nurses' participation. In addition, an open and continuous discussion should be proposed to cultivate nurses’ ethical sensitivity and moral courage. This paper reports two ethical examples related to the decisions on life-sustaining treatment occurred in intensive care units of a tertiary hospital.