Medium-resolution spectra from 3650 to 10000 Angstrom are presented for 96
giant H II regions distributed in 20 spiral galaxies. In order to interpret
the data, we have calculated two separate grids of photoionization models,
adopting single-star atmospheres (Kurucz) and star clusters synthesized wi
th different initial mass functions (IMFs) as ionizing sources. Additional
models were computed with more recent non-LTE stellar atmospheres, in order
to check the effects of different stellar ionizing fluxes. We use the radi
ation softness parameter eta' = ([O II]/[O III])/([S II]/[S III]) of Vilche
z & Pagel to test for a metallicity dependence of the effective temperature
s of the ionizing stars. Our results are consistent with a significant decr
ease in mean stellar temperatures of the ionizing stars with increasing met
allicity. The magnitude of the effect, combined with the behavior of the He
I lambda 5876/H beta ratio, suggest a smaller upper mass limit for star fo
rmation at abundances higher than solar, even when considering the effects
of metallicity on stellar evolution and atmospheric line blanketing. Howeve
r, the exact magnitudes of the stellar temperature and IMF variations are d
ependent on the choice of stellar atmosphere and evolution models used, as
well as on uncertainties in the nebular abundance scale at high metalliciti
es. Our results also constrain the systematic behavior of the ionization pa
rameter and the N/O ratio in extragalactic H II regions. The observed spect
ral sequences are inconsistent with current stellar evolution models, which
predict a luminous, hot W-R stellar population in evolved H rr regions old
er than 2-3 Myr. This suggests either that the hardness of the emitted Lyma
n continuum spectrum has been overestimated in the models or that some mech
anism disrupts the H II regions before the W-R phases become important.